Jaundice: The History of Disease and Related Things

Some things can be related to the mechanism of occurrence of jaundice. Then as a doctor we should ask questions related to several things, such as:

• Age. The older patient, carcinoma is more often the cause of jaundice, While the hepatitis, less frequent in old age.
• Injection or transfusion within the last 6 months (characterizing viral hepatitis), including drug addiction. You also have to looking for evidence of injection site.
• Contact with the patient's jaundice and a history of living abroad
• Jobs. farm employment and work in sewers at risk of leptospirosis.
• History of dark urine and pale stools in biliary obstruction.
• Drugs taken recently, especially phenothiazines and the contraceptive pill.
• Onset of illness until it becomes the main symptom of jaundice. hepatitis Agenerally lasts 1-3 weeks, carcinoma is 1-2 months, hepatitis B 6 weeks-6months, cirrhosis hepatic are usually very long.
• Alcohol consumption
• Abdominal pain which was recently, or dyspepsia may be a sign of chroniccholecystitis, cholangitis, gallstones, or pancreatic carcinoma.
• Recent surgery, anesthesia (halothane).
• Family history, if suspected of having Gilbert's syndrome.