Assessment of the Patient with Acute Jaundice - Flowchart
Assessment of the Patient with Acute Jaundice - Flowchart Assessment of the Patient with Acute Jaundice Assessment of the Patient with Acute Jaundice
Flowchart

Acute jaundice

Acute jaundice

Acute jaundice

Consider causes Table 23.3
Urgent hepatology opinion

Consider causes Table 23.3
Urgent hepatology opinion

Consider causes Table 23.3
Urgent hepatology opinion

Table 23.3

End

End

End

Key observations (Table 1.1)
Focused assessment (Table 23.1)
Urgent investigation (Table 23.2)

Key observations (Table 1.1)
Focused assessment (Table 23.1)
Urgent investigation (Table 23.2)

Key observations (Table 1.1)
Focused assessment (Table 23.1)
Urgent investigation (Table 23.2)

Table 1.1
Table 23.1
Table 23.2

Consider causes in Table 23.4
Urgent hepatology/surgical opinion

Consider causes in Table 23.4
Urgent hepatology/surgical opinion

Consider causes in Table 23.4
Urgent hepatology/surgical opinion

Table 23.4

Abnormal conscious level or mental state?

Abnormal conscious level or mental state?

Abnormal conscious level or mental state?

Yes

Yes

Yes

No

No

No

Abdominal pain, distension or tenderness, or dilated intrahepatic bile ducts on ultrasound

Abdominal pain, distension or tenderness, or dilated intrahepatic bile ducts on ultrasound

Abdominal pain, distension or tenderness, or dilated intrahepatic bile ducts on ultrasound

Yes

Yes

Yes

No

No

No

Consider other causes (Tables 23.5)
Hepatology opinion

Consider other causes (Tables 23.5)
Hepatology opinion

Consider other causes (Tables 23.5)
Hepatology opinion

Tables 23.5

Urgent hematology opinion

Urgent hematology opinion

Urgent hematology opinion

Evidence of haemolytic anemia?
Haemoglobin, Reticulocytes Abnormal film
Lactate dehydrogenase (LDH), Haptoglobin (Tables)

Evidence of haemolytic anemia?
Haemoglobin, Reticulocytes Abnormal film
Lactate dehydrogenase (LDH), Haptoglobin (Tables)

Evidence of haemolytic anemia?
Haemoglobin, Reticulocytes Abnormal film
Lactate dehydrogenase (LDH), Haptoglobin (Tables)



Yes

Yes

Yes

No

No

No