If there are familiar jaundice precedents it can be that the patient has Gilbert's illness, or the Dubin-Johnson syndrome, a hereditary esferocitosis or an illness of Wilson.

If the patient takes medicines of habitual form it can impute to them especially in the case that IMAOs is hormones, fenotiacinas, for it it is necessary to be known that medicines take and his possible effects on the liver.

The precedent of poisonous exhibition exists other occasions to derivatives of the oil, or with more frequency to alcohol and a destructive poisonous hepatitis takes place for these factors.

When abdominal vague inconveniences appear, with absence of desire of eating, morning sickness and vomiting not exaggerated fever, and general discomfort in young persons it is necessary to think about a viral infectious hepatitis.

If on the other hand there is a long intolerance history to greasy food and of abdominal plenitude after the meals in adult persons, more in women, it is necessary to think about a problem of the biliary vesicle.

If it appears an intermittent fever can be a colangitis.
If the discomfort is very showy and there is a loss of clear weight can be a cancer.
The appearance of the itch in the skin in addition to the jaundice suggests a biliary obstruction.

The jaundice hepatocelular that can be well for viral infection or for toxicants (alcohol) it appears by an initial phase with bile in the urine by what it will turn out to be dark, the dregs without color, and in the blood an elevation of the direct or combined bilirrubina, which then tends to normalize.

The alkaline fosfatasas are low but the transaminasas like the GOT will turn out to be very high (superior to 250 UI/ml).

In the obstructive jaundice by calculations, medicines, cancer, the urine will turn out to be dark with bile, the dregs without color, the direct bilirubina will rise in blood, also it will turn out to be high the alkaline fosfatasas, and on the other hand the transaminasas will be lower than 300 UI/ml.