Investigation and management of jaundice
Investigations | Potential results | Clinical management plan |
---|---|---|
Actions from history, medication and dietary assessment | ||
If there is fever | This is an emergency. Discuss with the on-call gastroenterology team immediately. | |
If there is no fever Blood for FBC, U&E, LFTs, INR, viral serology, glucose, plus full liver screen (p. 2) and amylase. Urgent US abdomen plus Doppler of the portal vein. | Discuss with the gastroenterology or hepatology team within 24 hours. Warn the patient that if they develop a fever they need to seek immediate medical help. |
FBC, full blood count; INR, international normalised ratio; LFTs, liver function tests; U&E, urea and electrolytes; US, ultrasound.