The evaluation of hepatitis begins with a history and physical exam.

Physical findings in someone with worsening hepatitis may include:

• Jaundice:
• Abnormally yellow skin or eyes
• Bruising of the skin
• Dark urine
• Pale skin from anemia
• Liver enlargement
• Liver tenderness

Physical findings in someone with severe hepatitis may include:

• Blood in the stools
• Blood in the vomit
• Confusion
• Lethargy:
• A condition of excessive sleepiness or drowsiness.
• Dehydration

Testing is required to make the diagnosis of hepatitis.

Tests that may be used to evaluate hepatitis include:

• Liver profile:
• May show elevated liver enzymes and bilirubin
• Complete blood count
• Hepatitis panel
• Coagulation profile
• Serum ammonia level
• Ultrasound of the abdomen
• CT scan of the abdomen
• MRI scan of the abdomen
• Liver biopsy

For more information:

• Alcoholic hepatitis evaluation
• Hepatitis A evaluation
• Hepatitis B evaluation
• Hepatitis C evaluation
• Hepatitis D evaluation
• Hepatitis E evaluation