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What to check for jaundice and hepatitis

2026-01-26 03:47:24 healthy

What to check for jaundice and hepatitis

Jaundice hepatitis is a common liver disease, mainly characterized by jaundice of skin, mucous membranes and sclera. The causes are diverse, including viral hepatitis, alcoholic liver disease, drug-induced liver injury, etc. To confirm the diagnosis and plan a treatment, doctors usually recommend a series of tests. This article will introduce in detail the common examination items for jaundice hepatitis and their clinical significance.

1. Common examination items for jaundice and hepatitis

What to check for jaundice and hepatitis

Check categorySpecific projectsclinical significance
blood testLiver function (ALT, AST, TBIL, DBIL, ALP, GGT)Assess the extent of liver damage and cholestasis
Virological examinationHepatitis A antibody (HAV-IgM), hepatitis B two and a half, hepatitis C antibody (HCV-Ab), etc.Determine whether it is viral hepatitis and the specific type
Imaging examinationAbdominal B-ultrasound, CT or MRIObserve liver morphology and bile duct dilation or space-occupying lesions
Other testsBlood routine, coagulation function, autoimmune antibodiesAssist in determining the cause (such as autoimmune hepatitis) and risk of complications

2. Detailed interpretation of inspection items

1. Liver function test

Liver function tests are the core items for jaundice hepatitis and mainly include:

  • ALT (alanine aminotransferase)andAST (Aspartate Aminotransferase): Reflects the degree of liver cell damage, ALT is more specific.
  • TBIL (total bilirubin)andDBIL (direct bilirubin): Differentiate between hemolytic and hepatocellular/obstructive jaundice.
  • ALP (alkaline phosphatase)andGGT (gamma-glutamyl transferase): Indicates cholestasis or bile duct disease.

2. Virological examination

Viral hepatitis is a common cause of jaundice and requires targeted testing:

Virus typeDetection methodPositive meaning
Hepatitis AHAV-IgM antibodyIndicates acute hepatitis A infection
Hepatitis BHBsAg, HBeAg, HBV-DNADetermine hepatitis B infection status and viral replication
Hepatitis CHCV-Ab, HCV-RNAConfirmation of hepatitis C and viral activity

3. Imaging examination

Imaging examinations can visually demonstrate structural abnormalities of the liver and biliary system:

  • B-ultrasound: Economical and convenient, it can detect gallstones, intrahepatic bile duct dilation, etc.
  • CT/MRI: More accurately identify tumors, liver cirrhosis or pancreatic lesions.

3. Other matters needing attention

1. Fasting is required for 8-12 hours before the examination and avoid drinking alcohol and strenuous exercise.
2. If drugs or toxic hepatitis are suspected, detailed medication history must be provided.
3. When jaundice occurs in pregnant women, intrahepatic cholestasis of pregnancy needs to be additionally ruled out.

Summary

The examination of jaundice hepatitis requires comprehensive judgment based on medical history, physical signs and laboratory results. Early identification of the cause is crucial to prognosis. Patients should actively cooperate with their doctors to complete relevant examinations and follow subsequent treatment recommendations.

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