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The potential cause of jaundice is wide and is divided into obstructive and non-obstructive causes.
These lists are not exhaustive.
If any of these criteria is present, please consider direct acute admission.
If none of the above are present, but you remain concerned about the safety of your patient, then consider seeking advice from the acute admissions team.
No results are mandated at the point of referral of patients with acute clinical jaundice.
However, if possible, please request the following blood tests and attach to the referral form:
Please, answer the question: “Do you suspect cancer?” in the referral form.
Time frame of appointment
The answer should be “YES” when there is no clear benign cause to explain the acute jaundice and patient is aged 40 years and over.
Please, inform the patient they are in a suspicion of cancer pathway, and they would be seen within 48 hours from referral.
These patients end up in the same tracking pathway as those referred via the 2ww UGI Tract cancer referral Form.
The answer would be “NO” when there is a clear benign cause of jaundice such as alcohol misuse, or in patients who are aged under 40 years.
Please, inform the patient they would be seen within 1 week.
A confirmation email with the date of the appointment will be sent to the Surgery within 24 hours.
When referring, please share this Patient Information Leaflet with the patient.
This Service is currently active only from Monday to Friday, but not during weekends or Bank Holidays.
e-Referral Service Selection
Clinic Type: Fast track Jaundice Clinic
This guideline has been signed off on behalf of the NHS Devon Clinical Commissioning Group
Publication date: June 2021
Updated: September 2021