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

| Check category | Specific projects | clinical significance |
|---|---|---|
| blood test | Liver function (ALT, AST, TBIL, DBIL, ALP, GGT) | Assess the extent of liver damage and cholestasis |
| Virological examination | Hepatitis 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 examination | Abdominal B-ultrasound, CT or MRI | Observe liver morphology and bile duct dilation or space-occupying lesions |
| Other tests | Blood routine, coagulation function, autoimmune antibodies | Assist 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:
2. Virological examination
Viral hepatitis is a common cause of jaundice and requires targeted testing:
| Virus type | Detection method | Positive meaning |
|---|---|---|
| Hepatitis A | HAV-IgM antibody | Indicates acute hepatitis A infection |
| Hepatitis B | HBsAg, HBeAg, HBV-DNA | Determine hepatitis B infection status and viral replication |
| Hepatitis C | HCV-Ab, HCV-RNA | Confirmation of hepatitis C and viral activity |
3. Imaging examination
Imaging examinations can visually demonstrate structural abnormalities of the liver and biliary system:
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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