The differential diagnosis of jaundice and fever are:
| Classification of jaundice based on etiology
|
Disease
|
History and clinical manifestations
|
Diagnosis
|
| Lab Findings
|
Other blood tests
|
Other diagnostic
|
| Family history
|
Fever
|
RUQ Pain
|
Pruritis
|
AST
|
ALT
|
ALK
|
BLR Indirect
|
BLR Direct
|
Viral serology
|
| Jaundice
|
Hepatocellular Jaundice
|
Viral hepatitis
|
–
|
-/+
|
–
|
–
|
↑
|
↑
|
N
|
↑/N
|
N
|
+
|
Specific viral antibody for each type
|
–
|
| Alcoholic hepatitis
|
–
|
-/+
|
-/+
|
–
|
↑↑
|
↑
|
N
|
↑/N
|
N
|
–
|
–
|
–
|
| Drug induced hepatitis
|
–
|
-/+
|
–
|
–
|
↑
|
↑
|
N
|
↑/N
|
N
|
–
|
–
|
–
|
| Cirrhosis
|
-/+
|
-/+
|
-/+
|
–
|
↑
|
↑
|
↑/N
|
↑/N
|
↑/N
|
-/+
|
Low platate
|
Small liver on ultrasond
|
| Cholestatic Jaundice
|
Hepatitis A cholestatic type
|
–
|
-/+
|
+
|
+
|
N
|
N
|
↑
|
N
|
↑
|
+
|
HAV- AB
|
Abdominal ultrasound
|
| EBV / CMV hepatitis
|
–
|
-/+
|
+
|
+
|
N
|
N
|
↑
|
N
|
↑
|
+
|
Positive serology
|
PCR or ELISA
|
| Isolated Jaundice
|
Immune hemolysis
|
–
|
-/+
|
–
|
–
|
N
|
N
|
N
|
↑
|
N
|
–
|
Autoantibodies
|
| Hematoma
|
–
|
-/+
|
–
|
–
|
N
|
N
|
N
|
↑
|
N
|
–
|
Anemia
|
Truma or surgery in history
|
|
