Suffering from jaundice hepatitis, which should be different

Suffering from jaundice hepatitis, and the following should be differentiated from the disease. ① infectious mononucleosis disease : these patients often fever, angina, superficial lymph nodes, Peripheral blood leukocytes and increased profiled lymphocytes ( "10%). Aeromonas serum - agglutination test positive and Epstein-Barr virus antibody immunoglobulin M positives can be diagnosed. ② Leptospirosis : pop-affected areas must first rule out the disease. A history of exposure to infected water, high fever and muscle pain obvious and superficial lymph nodes, skin and mucous membrane bleeding tendency, kidney damage, WBC, RBC urine protein-positive and possession. If the blood and urine found pathogens, leptospirosis serum lectin dissolution test positive, you can identify hepatitis. ③ drug-induced hepatitis : medication history, taking over poisoning can damage the liver of drugs such as chlorpromazine, indomethacin, sulfonamides, Phenobarbital and other categories. Until jaundice without fever, gastrointestinal symptoms not obvious, serum ALT a marked increase can often identify funding. ④ choledocholithiasis : significantly more common in middle-aged women, often recurrent acute abdominal colic history, shoulder-length hair and radiotherapy back, Jaundice and colic attack, was intermittent. Alkaline phosphatase, γ - glutamyl endopeptidase often turn higher, gallbladder or biliary ultrasound imaging can be diagnosed and stone impact. ⑤ pancreatic cancer : elderly group. Slow onset pancreatic cancer, cholangiocarcinoma total occult disease, in patients with significant weight loss, abdominal pain, which continued to increase, the rapidly increasing jaundice, AKP and γ-GT increased. Imaging checks to be diagnosed. ⑥ other : with liver abscess, relapsing fever, sepsis should differential.