Initial Testing for Causes Hyperbilirubinemia | Medical Algorithm

Are you evaluating a patient with an elevated serum bilirubin?

Yes

Serum total bilirubin

Upper limit of reference range for serum total bilirubin

Serum direct bilirubin

Upper limit of reference range for serum direct bilirubin

Serum ALT

Upper limit of reference range for serum ALT

Serum alkaline phosphatase

Upper limit of reference range for serum alkaline phosphatase

Is the urine positive for hemoglobin?

Yes

Select the appropriate answer for each finding

Urobilinogen

Urine conjugated bilirubin

Color of stool

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Data complete?

Evaluation appropriate?

Number of findings for hemolysis

Number of findings against hemolysis

Number of findings for hepatocellular disease

Number of findings against hepatocellular disease

Number of findings for biliary obstruction

Number of findings against biliary obstruction

The cause for the hyperbilirubinemia appears to be

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Interpretation and Description

References

Next Steps in Evaluation

Complications
- Cholestasis Associated with Sepsis & Systemic Inflammation

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10

Initial Testing for Causes of Hyperbilirubinemia

Purpose: To evaluate a patient with hyperbilirubinemia using simple screening tests.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10