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Liver symptoms Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Liver symptoms. 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. How long have you had liver symptoms?

    Why: to determine if acute or chronic.

  2. What liver symptoms do you have?

    Why: e.g. enlarged liver, jaundice, liver pain, tender liver.

  3. Do you, or have you ever owned a dog as a pet?

    Why: may indicate increased risk of hydatid disease. Hydatid disease occurs when humans ingest the embryos of the dog tapeworm which may occur with direct contact with infected dogs or by eating uncooked, improperly washed vegetables contaminated with infected canine feces.

  4. Risk factors for viral hepatitis?

    Why: e.g. African or Far eastern country of origin, recent consumption of shellfish (may suggest hepatitis A), intravenous drug use, tattoos, male homosexuality, female prostitution, recent travel to areas with increased risk of hepatitis A, needle stick injury.

  5. Has there been a recent snake bite?

    Why: snake venom may cause jaundice.

  6. Past medical history?

    Why: e.g. some medical conditions may cause jaundice including haemolytic anemia, gallstones, cancer of the pancreas, cancer of the bile duct, strictures of the bile duct, hepatitis, cirrhosis of the liver and congestive cardiac failure; primary biliary cirrhosis may be associated with Sjogren's syndrome, scleroderma, rheumatoid arthritis; primary liver cancer is associated with Hepatitis B and C, alcoholic cirrhosis and hemochromatosis; liver metastases most commonly originate from breast, lung and colon cancer; right heart failure may be caused by left heart failure, chronic lung disease, pulmonary embolism or valvular heart disease secondary to previous rheumatic fever; Budd-Chiari syndrome may be caused by polycythaemia rubra vera, leukemia, renal cancer, hepatocellular cancer or hydatid cyst; sclerosing cholangitis is a cause of jaundice and may be associated with ulcerative colitis.

  7. Medications?

    Why: e.g. many medications may cause jaundice including isoniazid, methyldopa, halothane, ketoconazole, niacin, nitrofurantoin, disulfiram, rifampin, testosterone, propylthiouracil, oral contraceptives, mercury; androgenic steroids and the contraceptive pill may be associated with hepatocellular carcinoma; contraceptive pill increases the risk of Budd-Chiari syndrome.

  8. Past Surgical history?

    Why: e.g. prosthetic heart valve induced hemolysis may cause jaundice; certain anesthetics such as halothane may cause jaundice.

  9. Dietary history?

    Why: e.g. excessive consumption of carotene due to intemperate eating of carrots, pumpkin, pawpaw or mangoes can cause yellow discoloration of the skin and be confused with jaundice; recent consumption of shellfish may suggest Hepatitis a infection that can cause jaundice; recent consumption of broad beans may indicate favism as a cause of hemolysis and jaundice.

  10. Sexual history, including history of homosexuality?

    Why: may provide information concerning risk of Hepatitis B and HIV infection.

  11. Alcohol history?

    Why: will indicate risk of alcohol related liver disease.

  12. History of injecting drug use?

    Why: may indicate risk of Hepatitis B, Hepatitis C and HIV.

  13. 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.

  14. Family history?

    Why: e.g. hemochromatosis, Dubin-Johnson syndrome, Rotor syndrome, thalassemia major, congenital spherocytosis.

  15. Occupational history?

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

  16. Possible poisoning?

    Why: e.g. carbon tetrachloride is a cleaning chemical that causes liver damage if inhaled or swallowed.

  17. Abdominal pain, and if so where exactly is the pain?

    Why: may suggest biliary obstruction due to gallstones but any cause of enlarged liver may cause abdominal pain due to distention of the liver capsule. Abdominal pain in a person with jaundice may suggest common duct stones, sclerosing cholangitis, pancreatic cancer, bile duct cancer, pancreatitis, viral or alcoholic hepatitis.

  18. Jaundice (yellow skin and sclera)?

    Why: may suggest hemolytic anemia; toxic or infectious hepatitis; bile duct obstruction due to gallstones, carcinoma of the pancreas or ampulla of Vater; hepatic abscess or biliary cirrhosis.

  19. Dark urine and pale stools?

    Why: occurs with obstructive or cholestatic type jaundice such as gallstones, cancer of the pancreas, cancer of the bile duct, strictures of the bile duct, some medications, recurrent jaundice of pregnancy.

  20. Itching of the skin?

    Why: suggests cholestatic liver disease such as viral hepatitis, alcoholic hepatitis, recurrent jaundice of pregnancy, primary biliary cirrhosis, common bile duct gallstones, cancer of the bile ducts, cholangitis, pancreatitis, biliary stricture, some medications.

  21. Fever?

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

  22. Gross weight loss?

    Why: often suggests cancer ( e.g. metastases, liver cancer, leukemia, lymphoma, cancer of the pancreas or bile ducts).

  23. Anorexia (reduced appetite)?
  24. Nausea or vomiting?
  25. Diarrhea?
  26. Symptoms of primary liver cancer (hepatocellular cancer)?

    Why: e.g. weight loss, loss of appetite, fever, ache in the right upper abdomen, swollen abdomen.

  27. Symptoms of right heart failure?

    Why: e.g. fatigue, shortness of breath, loss of appetite, nausea, swollen ankles, swollen abdomen and symptoms of left heart failure (unable to lie flat in bed due to breathlessness).

  28. Symptoms of hemochromatosis?

    Why: e.g. bronze pigmentation, fatigue, loss of libido, painful joints, symptoms of diabetes, symptoms of congestive cardiac failure.

  29. Symptoms of hydatid disease of the liver?

    Why: e.g. jaundice (yellow skin), abdominal pain, fever.

  30. Symptoms of viral hepatitis?

    Why: e.g. feel unwell with nausea, vomiting, diarrhea, loss of appetite, headaches, distaste for cigarettes, mild fever, mild abdominal discomfort, jaundice, dark urine, pale colored stools, may develop a rash and painful joints.

  31. 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).

  32. 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 symptoms:

The following list of conditions have 'Liver symptoms' 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 symptoms or choose View All.

View All A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

Conditions listing medical complications: Liver symptoms:

The following list of medical conditions have 'Liver symptoms' or similar listed as a medical complication in our database.

 

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