Icterus in Children Evaluation
The evaluation of a child with jaundice begins with a complete history and physical examination.
The diagnosis of jaundice is made during physical exam.
Physical findings in a child with jaundice may include:
- Brown urine
- Abnormal stool:
- Clay-colored stool
- Blood in the stool
- Vomiting blood
- Excessive bruising of the skin
- Liver enlargement
- Liver tenderness
- Pale skin
Testing is necessary to determine the cause of jaundice.
Tests that may be used to evaluate jaundice 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
- Nuclear scan of the liver
- HIDA scan of the gallbladder
Less commonly performed tests that may be used to evaluate jaundice include:
For more information:
Continue to Icterus in Children Treatment
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- Moyer V, Freese DK, Whitington PF, Olson AD, Brewer F, Colletti RB, Heyman MB; North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Guideline for the evaluation of cholestatic jaundice in infants: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2004 Aug;39(2):115-28. 
- Pitiakoudis M, Mimidis K, Tsaroucha AK, Papadopoulos V, Karayiannakis A, Simopoulos C. Predictive value of risk factors in patients with obstructive jaundice. J Int Med Res. 2004 Nov-Dec;32(6):633-8. 
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