Sandbox:Jaundice

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Differential diagnosis

Abbreviations: RUQ= Right upper quadrant of the abdomen, LUQ= Left upper quadrant, LLQ= Left lower quadrant, RLQ= Right lower quadrant, LFT= Liver function test, SIRS= Systemic inflammatory response syndrome, ERCP= Endoscopic retrograde cholangiopancreatography, IV= Intravenous, N= Normal, AMA= Anti mitochondrial antibodies, LDH= Lactate dehydrogenase, GI= Gastrointestinal, CXR= Chest X ray, IgA= Immunoglobulin A, IgG= Immunoglobulin G, IgM= Immunoglobulin M, CT= Computed tomography, PMN= Polymorphonuclear cells, ESR= Erythrocyte sedimentation rate, CRP= C-reactive protein

Classification of jaundice based on etiology Disease Clinical manifestations Diagnosis Comments
Symptoms Signs
Fever Rigors and chills Abdominal Pain Lab Findings Imaging
Hyperbilirubinema Inflammatory causes Pancreato-biliary disorders Acute suppurative cholangitis
Acute cholangitis
Acute cholecystitis
Acute pancreatitis
Primary biliary cirrhosis
Primary sclerosing cholangitis
Cholelithiasis
Gastric causes Peptic ulcer disease
Gastritis
Gastroesophageal reflux disease
Gastric outlet obstruction
Gastrointestinal perforation
Intestinal causes Acute appendicitis
Acute diverticulitis
Inflammatory bowel disease
Irritable bowel syndrome
Whipple's disease
Toxic megacolon
Tropical sprue
Celiac disease
Hepatic causes
Peritoneal causes
Hollow Viscous Obstruction Small intestine obstruction
Volvulus
Biliary colic
Renal colic
Vascular Disorders Ischemic causes Mesenteric ischemia
Acute ischemic colitis
Hemorrhagic causes Ruptured abdominal aortic aneurysm
Intra-abdominal or retroperitoneal hemorrhage
Gynaecological Causes Tubal causes Torsion of the cyst
Acute salpingitis
Cyst rupture
Pregnancy Ruptured ectopic pregnancy
Non-hyperbilirubinemia causes of jaundice (false jaundice) Rifampin use Pleural empyema
Beta caroten Myocardial Infarction