• Recognize

    Elevation in LFTs AST/SGOT ALT/SGPT Bilirubin (total/direct) Alteration in GI function Symptoms such as abdominal pain, ascites, somnolence, and jaundice Other potential causes (viral, drug toxicity, disease progression)

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  • Listen

    Change in energy level? Change in skin color? Yellowing? Change in stool color (paler)? Change in urine color (darker/tea colored)? Abdominal pain: specifically, right upper quadrant pain? Bruising or bleeding more easily? Fevers? Change in mental status? Increased sweating?

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  • Look

    Does the patient appear fatigued or listless? Does the patient appear jaundiced? Does the patient appear diaphoretic? Does the patient have any ascites?

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