Hx: Jaundice Cheat Sheet (DRAFT) by med_panda

- When did this start? How long has it been?
- Did this start suddenly or gradually?
- Did you notice this or someone else?
- Where was it noticed first? On your eyes or skin?
- Do you notice your pee or poop changing color? more darker or poop more pale?
- Do you have any skin itching? (obstr­uctive jaundice)
- Do you have tummy pain? Do you feel more warmer (fever)? Do you feel generally weak? (consider ascending cholan­gitis)
- Do you notice your clothes being bigger, like yuve lost weight?

- What is the mother and child's individual blood type
- Did the mother have any infection during pregnancy? (TORCH, strep infection) sore throat, skin sores
- Difficulty in delivery (cepha­lhe­matoma)
- Feeding- number of times/day, newborns every 2 hrs
- Activity of child at birth

Many drugs can cause jaundice such as:
> Fluclo­xac­illin, Augmentin, Isoniazid, rifamp­ici­n(TB), Oral contra­ceptive pill, Steroids, Parace­tamol (overd­ose), Herbal meds

- Any allergies?

- Any illnesses that run in the family?
- Jaundi­ce/­mat­ernal risk factors for viral jaundice
- Has any one in your family ever been told by a doctor to have cancer of their tummy organs
- Does anyone in your family or community have similar problems?

- Are you married? Do you have children?
- Do you have any partners? Do you practice safe sex by using condoms {ensure}?
- What do you do for work?
> Health care workers: needle stick injury
> Sewage workers: Leptos­pirosis
- Do you smoke?
- Do you drink alcohol?
- Do you use any IV needle drugs
- Did you recently travel anywhere around the country or overseas?

Be able to
> Determine the type of jaundice
> Most likely cause
> Provide justif­ication