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Liver pain Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Liver pain. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. When did the liver pain start

    Why: to determine if pain is acute or chronic.

  2. Where exactly is the pain located?

    Why: To determine if the pain is diffuse or focal.

  3. What is the nature of the pain?
  4. Past medical history?

    Why: e.g. increased risk of hepatocellular carcinoma with hepatitis B and C infection, cirrhosis of the liver and hemochromatosis; Budd-Chiari syndrome may be caused by polycythaemia rubra vera, leukemia, renal cancer, hepatocellular cancer or hydatid cyst; right heart failure may occur in association with left heart failure, chronic lung disease, pulmonary embolism, tricuspid valve disease and right ventricular cardiomyopathy.

  5. Medications?

    Why: e.g. androgenic steroids and the contraceptive pill may be associated with hepatocellular carcinoma; contraceptive pill increases the risk of Budd-Chiari syndrome.

  6. Alcohol history?

    Why: to establish risk of liver disease.

  7. Sexual history?

    Why: to determine risk of hepatitis B infection that can cause tender liver.

  8. Traveling history?

    Why: to determine if travel is to areas with an increased risk of Hepatitis A infection, yellow fever, malaria, dengue fever, Ebola virus, Marberg virus.

  9. History of intravenous drug use?

    Why: increase the risk of hepatitis B and hepatitis C infection that can cause tender liver.

  10. Occupational history?

    Why: e.g. exposure to hazards or animals (e.g. toxoplasmosis, leptospirosis, Q fever which can cause hepatitis with a tender liver).

  11. Jaundice (yellow skin, yellowing of sclera)?

    Why: would suggest hepatitis. May also occur with hepatic abscess.

  12. Anorexia (reduced appetite)?
  13. Weight loss?
  14. Nausea or vomiting?
  15. Diarrhea?
  16. Fever?

    Why: would suggest viral hepatitis, infectious mononucleosis, leptospirosis, hepatic vein thrombosis, liver abscess and toxic hepatitis.

  17. Symptoms of hepatitis?

    Why: e.g. nausea, vomiting, diarrhea, reduced appetite, headache, malaise, distaste for cigarettes, mild fever, upper abdominal discomfort, jaundice, dark urine, pale stools. May have a transient rash and joint pain.

  18. Symptoms of hepatocellular cancer (primary liver cancer)?

    Why: e.g. weight loss, reduced appetite, fever, ache in the right upper abdomen, generalized abdominal distention (ascites).

  19. Symptoms of right heart failure?

    Why: e.g. fatigue, breathlessness, reduced appetite and nausea. May also have tender enlarged liver, ankle edema (swelling) and ascites (accumulation of fluid in abdominal cavity).

  20. Symptoms of Budd-Chiari syndrome (hepatic vein thrombosis)?

    Why: e.g. abdominal pain, nausea, vomiting, tender enlarged liver, ascites (accumulation of fluid in abdominal cavity).

  21. Symptoms of hepatitis abscess?

    Why: e.g. fever, chills, reduced appetite, vomiting, weight loss, right sided upper abdominal pain and tender liver. There may be jaundice.

Conditions listing medical symptoms: Liver pain:

The following list of conditions have 'Liver pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Liver pain or choose View All.

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