How to diagnose hepatocellular jaundice

Hepatocellular jaundice can be diagnosed by physical examination, laboratory examination, imaging examination, pathological examination, etc.

1, physical examination

by observing or asking patients whether there is fatigue, dyspepsia, liver pain, sclera yellow staining, skin yellow staining and other symptoms contribute to the initial diagnosis of the disease.

2, laboratory examination urine

routine examination urobilinogen and bilirubin elevated, suggesting hepatocellular jaundice and obstructive jaundice. Blood biochemical examination can be seen serum conjugated bilirubin, non-conjugated bilirubin, aminotransferase elevated, there is value in assessing the severity of hepatitis. Viral hepatitis serum markers can identify the type of viral hepatitis. Alpha fetoprotein determination can assist in the diagnosis of primary liver cancer.

3. Imaging examination

Abdominal CT can observe liver size, density, etc., which is helpful to evaluate the nature of jaundice and further diagnose jaundice caused by liver, gallbladder, pancreas and other diseases. B-ultrasound can distinguish portal hypertension, liver cancer and other conditions. MRI is superior to CT in distinguishing benign and malignant tumors of the liver. Radionuclide imaging is helpful to differentiate extrahepatic obstructive jaundice from hepatocellular jaundice.

4. Pathological examination Liver

biopsy is the gold standard for diagnosis of liver diseases.