Jaundice history & symptoms: Difference between revisions

Jump to navigation Jump to search
Line 29: Line 29:


* '''Cirrhosis'''
* '''Cirrhosis'''
the symptoms of liver cirrhosis are very non-specific:
the symptoms of liver cirrhosis are very non-specific:<ref name="pmid9683971">{{cite journal |vauthors=Williams EJ, Iredale JP |title=Liver cirrhosis |journal=Postgrad Med J |volume=74 |issue=870 |pages=193–202 |year=1998 |pmid=9683971 |pmc=2360862 |doi= |url=}}</ref>


Right upper quadrant abdominal pain  
Right upper quadrant abdominal pain  

Revision as of 16:21, 1 February 2018

Jaundice Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Jaundice from other Conditions

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

Electrocardiogram

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Jaundice history & symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Jaundice history & symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Jaundice history & symptoms

CDC on Jaundice history & symptoms

Jaundice history & symptoms in the news

Blogs on Jaundice history & symptoms

Directions to Hospitals Treating Jaundice

Risk calculators and risk factors for Jaundice history & symptoms

Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Farnaz Khalighinejad, MD [2]

Overview

Common symptoms of jaundice that the patient will notice, is yellowing of the skin, nausea, and vomiting. Specific symptoms will depend on the underlying factor that caused jaundice to occur.

History and Symptoms

Jaundice typically appears in a 'top to bottom' progression (starting with the face, progressing toward the feet), and resolves in a 'bottom to top' manner.

The caregiver should ask questions regarding

  • Alcohol/hepatotoxic medication use

Various Symptoms

  • Cirrhosis

the symptoms of liver cirrhosis are very non-specific:[3]

Right upper quadrant abdominal pain Fever Anorexia Fatigue and weakness Nausea and vomiting Weight loss Abdominal pain and bloating Menstrual irregularities Symptoms of hypogonadism: Impotence Infertility Testicular atrophy Loss of libido Easy bruisability Decompensated cirrhosis may present with[4] Jaundice Increase in abdominal girth due to ascites Pruritus Signs of upper gastrointestinal bleeding: Hematemesis Hematochezia Melena Symptoms due to hepatic encephalopathy: Altered mental status Confusion Sleep disturbances Muscle cramps due to reduction in effective circulating plasma volume Lower extremity edema Symptoms may vary depending on the underlying cause of cirrhosis: Primary biliary cirrhosis presents with the following symptoms: Fatigue out of proportion to the severity of the disease Pruritis May be intermittent Increases in the evening May present in the last trimester of pregnancy and may be mis-diagnosed as cholestasis of pregnancy Primary sclerosing cholangitis may present with the following in addition to the above symptoms of cirrhosis: Fatigue Pruritis Steatorrhea Abdominal pain, mainly in the right upper quadrant (RUQ) Yellowish discoloration of the skin and mucous membranes (jaundice) Fever Weight loss

  • Primary biliary cirrhosis
  • Choledocholithiasis
  • Cholangiocarcinoma
  • Primary sclerosing cholangitis
  • Acute pancreatitis
  • Chronic pancreatitis

References

  1. Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH (2018). "ACG Clinical Guideline: Alcoholic Liver Disease". Am. J. Gastroenterol. doi:10.1038/ajg.2017.469. PMID 29336434.
  2. Krugman S, Giles JP (1970). "Viral hepatitis. New light on an old disease". JAMA. 212 (6): 1019–29. PMID 4191502.
  3. Williams EJ, Iredale JP (1998). "Liver cirrhosis". Postgrad Med J. 74 (870): 193–202. PMC 2360862. PMID 9683971.

Template:WH Template:WS