Jaundice and pruritis

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The differential diagnosis for jaundice and pruritis are:

Disease History and clinical manifestations Diagnosis
Lab Findings Other blood tests Other diagnostic
AST ALT ALK BLR Indirect BLR Direct Viral serology
Type of jaundice Pruritis Family history
Common bile duct stone Cholestatic Jaundice + -/+ N N N - Dilated ducts on sono CT/ERCP
Hepatitis A cholestatic type + - N N N + HAV- AB Abdominal ultrasound
EBV / CMV hepatitis + - N N N + Positive serology PCR or ELISA
Primary biliary cirrhosis + -/+ N/↑ N/↑ N - AMA positive Liver biopsy
Primary sclerosing cholangitis + -/+ N/↑ N/↑ N - Beading on MRCP Liver biopsy
Autoimmune hepatitis Hepatocellular Jaundice -/+ -/+ N ↑/N N - Anti-LKM antibody Liver biopsy

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