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266 Possible Causes for Progressive or Intermittent Jaundice, Scleral Icterus

  • Obstructive Jaundice

    (ie, progressive, intermittent, fluctuating) The presence of systemic symptoms (eg, fever, anorexia, weight loss) Symptoms of gastric stasis (eg, early satiety, vomiting,[emedicine.medscape.com] […] of urine and scleral icterus precede yellowing of skin Other causes of yellow skin carotenemia. carotenemia does not cause scleral icterus Hyperbilirubinemia per se has no[meddean.luc.edu] […] important: Patients' ages and associated conditions The presence or absence of pain The location and characteristics of the pain The acuteness of the symptoms The course of the jaundice[emedicine.medscape.com]

  • Intrahepatic Cholestasis

    A 63-year-old man had a week-long history of intermittent high fever and rapidly progressive jaundice with atypical erythema.[ncbi.nlm.nih.gov] Scleral icterus and jaundice were observed at 27 weeks.[ncbi.nlm.nih.gov]

  • Vomiting of Pregnancy

    I have a 30-year-old pregnant patient who is asthmatic and is taking prednisone. Whenever she decreases her prednisone dose, her nausea increases tremendously even though she is taking two tablets of doxylamine and pyridoxine combination (Diclectin) daily. She is already at 26 weeks' gestation, and I really do not[…][ncbi.nlm.nih.gov]

    Missing: Progressive or Intermittent Jaundice
  • Liver Cirrhosis

    In the presented case, the authors describe an obese middle-aged man that presented to the emergency department for persistent oedema, scleral icterus and fatigue.[ncbi.nlm.nih.gov] A compelling clinical picture required, in the absence of other explanations, the presence of at least 4 of the following: spider nevi, scleral icterus, palmar erythema, ascites[dx.doi.org]

    Missing: Progressive or Intermittent Jaundice
  • Choledocholithiasis

    Scleral icterus may be present, but is not a reliable sign. In case of cholangitis, fever, tachycardia and hypotension may be present.[hepatitis.va.gov] Note should be made for any hyperthermia, diaphoresis, jaundice, scleral icterus, tachycardia, hypotension, tachypnea, or right upper quadrant abdominal tenderness.[ncbi.nlm.nih.gov] icterus, dark urine, acholic stool), cholangitis (fever, abdominal pain, jaundice, hypotension, mental status changes), and pancreatitis (constant epigastric pain radiating[clinicaladvisor.com]

    Missing: Progressive or Intermittent Jaundice
  • Hemochromatosis

    To describe unusual retinal findings of a patient affected by hemochromatosis. Case report of a 49-year-old patient who presented a progressive loss of vision. Fundus photography, fluorescein angiography, full-field electroretinogram, autofluorescence imaging, and spectral domain optical coherence tomography were[…][ncbi.nlm.nih.gov]

    Missing: Progressive or Intermittent Jaundice
  • Portal Cirrhosis

    icterus Vascular spiders (spider telangiectasias, spider angiomata) Splenomegaly Testicular atrophy TABLE 2 Common Physical Examination Findings in Patients with Cirrhosis[aafp.org] icterus Yellow discoloration of skin, cornea, and mucous membranes Increasing serum bilirubin due to compromised hepatocyte excretory function Spider angiomata Central arteriole[pathophys.org] Scleral icterus can usually be detected if the serum bilirubin level is greater than 3.0 mg/dL.[hepatitisc.uw.edu]

    Missing: Progressive or Intermittent Jaundice
  • Cholestasis

    Her physical exam was remarkable for jaundice and scleral icterus without any stigmata of liver disease.[ncbi.nlm.nih.gov] It results in jaundice, which can be detected by scleral icterus at a concentration as low as 2 mg/dL, and by dark urine.[emedicine.com]

    Missing: Progressive or Intermittent Jaundice
  • Ascending Cholangitis

    Initial Presentation: Jaundice Abdominal pain Fever Vital Signs: Fever can be present given this is an infectious process Dermatological Exam: Scleral icterus Jaundice Abdominal[stepwards.com] She has scleral icterus and jaundice (worsened per family). The patient grimaces on palpation of the right upper quadrant.[emdocs.net]

    Missing: Progressive or Intermittent Jaundice
  • Neonatal Hyperbilirubinemia

    Scleral icterus in their 4-year-old sibling and in their mother led to the diagnosis of HS in them as well.[ncbi.nlm.nih.gov] The most notable signs of hyperbilirubinemia are jaundice and scleral icterus.[pathophys.org] Roughly, the following serum levels have been observed to correlate with clinical findings: 34-51 umol/L – scleral icterus 68-86 umol/L – jaundice on face 258 umol/L – jaundice[pathophys.org]

    Missing: Progressive or Intermittent Jaundice

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