Jaundice Diagnostic Workup - Causes, Symptoms & Treatment

Jaundice Diagnostic Workup - Causes, Symptoms & Treatment
Jaundice causes, symptoms, treatment are explained with diagnostic workup in step wise manner for answering any kind of question in exams like usmle step 1 or usmle step 2 ck.This video is all you need to understand cholestatic jaundice,hemolytic jaundice,hepatic and post hepatic or obstructive jaundice. paediatrics topics like neonatal jaundice, breastfeeding jaundice, causes of jaundice in newborn baby are also explained in this lecture.
Jaundice in an adult patient can be caused by a wide variety of benign or life-threatening disorders. Organizing the differential diagnosis by prehepatic, intrahepatic, and posthepatic causes may help make the work-up more manageable. Prehepatic causes of jaundice include hemolysis and hematoma resorption, which lead to elevated levels of unconjugated (indirect) bilirubin. Intrahepatic disorders can lead to unconjugated or conjugated hyperbilirubinemia. The conjugated (direct) bilirubin level is often elevated by alcohol, infectious hepatitis, drug reactions, and autoimmune disorders. Posthepatic disorders also can cause conjugated hyperbilirubinemia. Gallstone formation is the most common and benign posthepatic process that causes jaundice; however, the differential diagnosis also includes serious conditions such as biliary tract infection, pancreatitis, and malignancies. The laboratory work-up should begin with a urine test for bilirubin, which indicates that conjugated hyperbilirubinemia is present. If the complete blood count and initial tests for liver function and infectious hepatitis are unrevealing, the work-up typically proceeds to abdominal imaging by ultrasonography or computed tomographic scanning. In a few instances, more invasive procedures such as cholangiography or liver biopsy may be needed to arrive at a diagnosis.
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[@warisahmed3043]

This is such a comprehensive video on jaundice. All the important information compiled in such a systemic way. Thanks for the video

[@MedNerdDrWaqasFazal]

Thank you very much for such nice comments 😊

[@AdamkhanShaikh]

❤

[@raheelahmad5932]

Respected Sir... Sir your teaching style is very nice... You teach to all medical students in very simplest style... Dr.Raheel khan (India)

[@smellypatel5272]

I'm a medical student in the US and found this video to be incredibly helpful. Thank you doctor!

[@bhagyashreesingh4323]

Such a comprehensive, clear and unambiguous explanation of Jaundice. Simply brilliant!

[@faiza_riaz]

Ma sha Allah 🌻 Sir ! You made it simple to understand. Thank you

[@Noorussaba-ok7wh]

Your teaching style is outstanding sir...thanq soo much

[@drradharamanbirtia1655]

Sir ,all your videos are highly informative,I hv never got such type of clear conceptual informations during my MBBS days.Thank you so much for making such videos for educating us. We aspect more numbers of such videos from you for the updation of our clinical knowledge.🙏🙏🙏🙏

[@NimalJayatileke]

Sir I am a Sri lankan doctor .Iam very appreciate your lectures .

[@Pint4Life]

Thank you so much, you are the best. I'm using your videos for my studies always. May God bless you. Ebenisha Choonya Majata, from Zambia, final year medical student.

[@ula7254]

God bless you for ur hardwork sir ❤

[@Sulphite9999]

MashaAllah sir You delivered excellent concepts ❤ JazakAllah for your hard work

[@Ak_87467]

Sir your lectures are best. I was not taught in such a good way in my college as well🙌

[@vedareddy8314]

Excellent videos to learn. Kudos to Dr. Waqas Fazal❤

[@kashifazizsiddiqui9543]

Effort is really appreciable, very nice video

[@subhashkumar-qj2vf]

Such a concise lecture..thank you Sir, much appreciated

[@domcoughlin3965]

Fantastic video! In md school and have go unit. This video matches up very well

[@campbeja001]

Very nice job! Eloquent crystal clear explanations

[@unekta]

Best video ever on jaundice

[@asadmasood6692]

Aj smjh ae jaundice ki. Thank you ❤️

[@drsureshkumar5623]

Very nice explanation of jaundice in simple language

[@MedNerdDrWaqasFazal]

Thank you Dr. Suresh Kumar 😊

[@AMS9928]

short, to the point, clear and precise. thanks for making

[@MedNerdDrWaqasFazal]

Thank you 😊

[@alakeshsaha2545]

sir you are great. much better than marrow prepladder

[@MedNerdDrWaqasFazal]

Very kind of you to say that 😊

[@debigdogk9563]

Another great video. Very clinically oriented. Thank you once again ❤❤❤❤❤❤

[@MedNerdDrWaqasFazal]

Thank you very much Debigdog K. I have been reading all your comments. So Nice of you. I am very happy that you found my videos helpful. 😊 ❤️ Keep supporting

[@rohineechauhan6257]

Thanku so much sir I can't explain in words..but u have expalined so well which no has explained till now...

[@parthwadhwani9566]

From where do you find this protocol charts pls tell me. I want to remember everything at 1 go

[@ayourveda2.0]

Sir it is too much to absorb ,but the way you explained,was incredible... Tysm sir... But sir you didn't discuss about the treatment

[@dtk7728]

Wonderful and very lucid explaination, plz keep posting new videos on common hot topics relavant for ER and family physician

[@MedNerdDrWaqasFazal]

Thank you DTK. 😊

[@harinisworld5174]

Urs lectures on all diseases are very well under standable even for a lay man.🙏🙏 Pl.make a video on white patcy dease

[@muhammadarfazkhanafridi8654]

Asalamaliakum sir g, you don't know who much you are making it easy for us ❤thanks alot and kindly suggest book for diagnosis and treatment which is easy to study and simple like your lecture 😊

[@ajaynirmal1371]

This man is a GEM 💎

[@mtmadv7872]

Sir please make video on how to treat adult jaundice and a video on treating non-alcoholic fatty liver disease

[@sahilshrivastava3911]

One more "Wow" video sir 🙏🙏🙏✨️Thankyou somuch sir

[@asadmasood6692]

Wonderful method of teaching.. clear all concepts .. thank you sir.. keep it up

[@MedNerdDrWaqasFazal]

Thank you Asad for your kind words. 😊

[@shaikhishtiaq2159]

Thank you sir. Your all video lectures are really helpful and have learned a lot. Pls continue your videos.

[@Noorullahandar-b4o]

Sir you are information is so simple and help fully thanks lot sir❤❤❤❤❤

[@varinderkaur5027]

No one teach like u sir

[@MedNerdDrWaqasFazal]

So kind of you. Will make video on ECG. 😊

[@kausarali0071]

Mashallah Our Pakistani Hero Doctor ❤

[@rumjhumdatta8265]

Beautifully explained sir thank you so much

[@afrozerani9821]

Outstanding video❤️❤️👍

[@pandeykuldip]

Beautifully summarised.

[@pumezanjokweni2478]

Xcellent!may you please make a video on-iv fluids in acute decompensated heart failure🙏.Njokweni(South Africa)

[@Knowledge.about-medicinee]

Sir ur a gem thanku so much now it really made my concept crystal clear abt jaundice

[@MedNerdDrWaqasFazal]

Thank you Ramiz Khan for your kind words. 😊

[@siphohlongwane5017]

I always enjoy your presentations ❤

[@jeniferjc5402]

I have a doubt sir. 22 year old male came to OPD with LFT reports(self). His Total bilirubin -2.2, direct bilirubin - 0.5 and indirect bilirubin-1.2. Other enzymes (ALP, SGOT, SGPT ) are normal. He has one episode of high grade fever and abdominal pain over left hypochondrial region. He has a history of typhoid fever before one and half months and then had these complaints. No history of dark coloured urine and pale stools. USG abdomen - normal. All RBC, WBC, PLATELET count normal. Hbsag negative, urine - normal. How to manage now.

[@abhijeetdubey2098]

Wow. Beautifully explained sir. Thanks for such a clear n comprehensive guide. Best wishes...!

[@MedNerdDrWaqasFazal]

Thank you Abhijeet Dubey 😊

[@dr.shahzebkhanmarwat1845]

Excellent Sir Love from Kpk Pakistan ❤❤❤

[@themedempire]

great video with lots of information

[@MedNerdDrWaqasFazal]

Thank you very much! I checked your videos they are really good.😊😊

[@DrBikram]

Incredible Sir..Keep uploading...Full support from medicos❤️🧑‍⚕️

[@cmc20041]

Beautiful lecture. Super, Thank you sir.

[@spiggs2182]

Amazing video and channel. Great job!!!!

[@MedNerdDrWaqasFazal]

Thank you 😊

[@Turkishedits.3]

Such an informative video 👍🏻 Thank you sir..!

[@shaistataskeen6354]

Thanks Allot sir 😊😊

[@Dr.shreyaChougule]

Sir i am little confused In1st condition were all test r normal & In last condition also all tests r normal......... So i think that in first condition were LFT is normal, ultrasound normal but if urine is positive for bilirubin then only we say that ,this is prehepatic jaundice

[@TheKindHearty]

Can u make vid for cholecystitic cholangitis etc

[@ritusharma9311]

Great informational video! 🙏 Can u suggest any treatment for dubin johnson?

[@MedNerdDrWaqasFazal]

Thank you Ritu Sharma! Dubin Johnson doesnot require any treatment. It is a benign disease. Even though patient have mild jaundice most of the time. Patient is usually reassured about the nature of disease. In cases of severe jaundice supportive therapy is given.

[@ritusharma9311]

@@MedNerdDrWaqasFazal what is supportive therapy?

[@MedNerdDrWaqasFazal]

Dubin Johnson by itself doesnot require treatment but sometimes any exacerbating factor i.e infection can result in severe jaundice so infection is treated and jaundice goes away by itself. Supportive therapy is set of interventions that augment body fight a certain diseased state.

[@wajidxi8195]

Very very informative video ever

[@marbleworld9253]

Great

[@brendabear1379]

Thank you, Waqas. Good explanation.

[@MedNerdDrWaqasFazal]

Thank you Brenda. I am glad you liked it. 🙂

[@brendabear1379]

@@MedNerdDrWaqasFazal You're very welcome.

[@drkpk384]

do one on drug resistant tb mtb etc lymphoma fever with ascites pl effusion etc

[@sabapathan4441]

Sir ,Sach a excellent explanation 👏

[@anilkotriki1816]

Amazing info ,very interesting

[@naveenbabu4057]

Thank u for sharing ur knowledge

[@medways]

You're a gem MA ❤️ I have been wandering for such clear concepts. You're the next Dr Najeeb IA.

[@MedNerdDrWaqasFazal]

Thank you ZA for your kind words. 😊

[@KhanKhan-ob6cx]

@@MedNerdDrWaqasFazal sir g ap konsy city men ho mainy apny bachy e reports dekhani hy 2 month ka baby ka birth se he jaundise hua ab doctor risk bts rhy hain

[@dr.aakashgupta]

​@@MedNerdDrWaqasFazal 😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊

[@dr.aakashgupta]

​@@MedNerdDrWaqasFazal 😊😊

[@dr.aakashgupta]

​@@MedNerdDrWaqasFazal 😊😊😊

[@drkpk384]

and your graduation college and post grad training from where

[@Johnwick0994]

Veryyyy good explanation sir Thank youuu

[@drsachinvashist3946]

Love you sir..nice videos..keep uploading sir...thanks

[@naziaxafer4807]

Sir where n when can I visit ur clinic I live in Mumbai

[@archanasingh5090]

Wonderful sir!!! So well explained. 👍👍🙏🏽

[@laibaabdullah6472]

I had hepatic jaundice 3 months ago had hepatitis A After recovery I'm having diarrhea from past 3 months what should I do

[@varinderkaur5027]

Sir please makes more videos on ecg

[@princet7313]

Best teacher ❤

[@muhammadarfazkhanafridi8654]

Or add some link that we can download the pdf we note but sometimes it difficult if you don't mind

[@ASK-tx9dq]

Sir plz make video for treatment of jaundice depend on each cause . In shaa Allah

[@MedNerdDrWaqasFazal]

Sure I will. Stay tuned 😊

[@ASK-tx9dq]

Sir we r weak in medicine, if u give complete information then we be practice nicely, and in shaa Allah u will get reward in Aakhirah

[@ASK-tx9dq]

Sir plz make gout video also

[@MedNerdDrWaqasFazal]

Sure I will. Please also check out my lectures on hep B and hep C treatment and management. 😊

[@Drvarshaw]

Sir plz make a video for ckd management

[@AbhishekSharma-uf5zv]

👑 Thank you so much sir… keep posting such awesome videos.. next video bacteria and antibiotics plz🙏🏻

[@Ucheadiuche]

I LEARNED A LOT

[@dr.2719]

No initial /basic treatment until underlying cause rule out?

[@לירוןגל-ר7ו]

great video, regards from Israel

[@drkpk384]

thx dr plz do some short case and long case thx

[@rabiyamustafa3842]

Direct bilirubin -0.15, indirect bilirubin -0.76 ....all of the doctors are saying it's normal ..but I'm suffering from yellowish of eyes from 2 years ...these yellow eyes are not always yellow..there is a yellow tint in my eye and my eye turns slowly yellow in sun and more yellow and then it will become yellow if i apply something on my face and eyes ..

[@Gtodyssey]

It can be Gilbert Syndrome.... Yellowish discoloration can increase in stress or fasting..... Management/treatment:- no treatment needed

[@aftabahmad-dg5cv]

great effort.. keep it up

[@MedNerdDrWaqasFazal]

Thank you very much aftab bhai ❤️

[@Mkhan-tl3yx]

Excellent 🎉🎉🎉🎉🎉

[@JitendraYadav-lh8pe]

thank you so much sir

[@nishith7139]

alt 87 ast 53 bilirubin 1.4 tg 205 sir my bilirubin fluctuates from to high also having digestion vomiting issues after eating treatment suggestions?

[@drkpk384]

sir one long case or treatment of tb drug resistant tb mtb pplz thanks

[@dr.usmanawan3596]

Very helpful video

[@itschillmed]

Great summary 🔥

[@syedadnanquadri591]

Good lecture ❤😊

[@kashish946]

Shandarrr

[@mohansinghpk77]

sir how about alcohol induced jaundice??

[@arunagayathri6669]

Thank you sir.

[@misbahumar4577]

JazakAllah

[@varshakashyap6524]

Can any one tell me what is ALT/AST and ALP in abnormal LFT's

[@reshnarevi2685]

Thank you Dr 😢

[@jkdeb3822]

Thanks

[@hime_ohime2874]

Why is urine positive for bilirubin in Hepatocellular Jaundice?

[@pandeykuldip]

Isn’t that well explained in lecture?

[@HamzaAlam-ju3om]

Symptoms and signs ,mx and TX sir

[@bhavanapallak]

Just suberb

[@akshaykakadiya7203]

Sir where is the treatment?

[@Dr.ArslanMannzoor]

Sir can we get a ppt of this slide ?

[@shamakuma1967]

Criggler-najar kay बारे मे nai bola.😊