22 - Jaundice

GI Diagnostic Code Suggested Waiting Time / Priority Level Referral Information Requirements
  1. Jaundice

    (If suspicion of acute hepatitis see #18)
Urgent
  • Duration
  • Symptoms (eg pain, fever, pruritus, stool/urine changes)
Essential Investigations Timing of essential investigation 
  • Liver enzymes: ALT, AST, Alk phos, GGT
  • Liver function: INR, PTT, Total/Direct bilirubin, Albumin
  • CBC, electrolytes, creatinine
  • US abdomen
  • 1 month
  • 1 month

  • 1 month
  • 1 month
Comments
If bilirubin elevation is less than 40 and mainly indirect bilirubin without other liver enzyme abnormalities Gilberts Syndrome should be considered. This is a benign condition of abnormal bilirubin conjugation and has no clinical consequences.

If bilirubin is isolated/unconjugated>50 do hemolysis workup and refer to hematology

Liver US: if there is biliary duct dilation refer to luminal GI, if no biliary tree dilation refer to hepatology

Fill out the Hepatology Referral Form for your patient in its entirety

Fax completed referral package to

780-492-9271

Any concerns or questions please call

Central Referrals: 780-248-1935 ​