Adult Jaundice Clerking Template

For clinic-based structured history, examination, investigation and plan. Use clinical judgement and local protocol for urgent referral.

ℹHow to Use This Template
  1. Complete the relevant history, examination, impression and plan fields.
  2. Tick applicable options. Additional questions will appear when further details are required.
  3. Use Generate Summary to create the clerking note, then copy it when ready.
  4. Complete the referral details and generate a referral letter when referral is required.

👤1. Patient Details

📋2. Presenting Complaint

Associated Symptoms

Vomiting Details

⚡3. Pain Assessment

⚠4. Red Flags

Red flag selected. Consider urgent referral based on clinical condition and local protocol.

🔍5. Risk Factors / Exposure

Viral Hepatitis / Infection Risk

High-risk Sexual Exposure Details

Biliary / Gallstone Risk

Alcohol / Toxin / Drug Risk

🩺6. Examination

General / Chronic Liver Disease Signs

Abdominal Examination

Lung Examination

CVS Examination

📝7. Impression & Plan

Clinical Pattern Suggestions

Suggestions are based on selected clinical features and do not replace clinical assessment or investigation.

Select relevant findings to view possible clinical patterns.

Impression

Plan Checklist

Plan Investigations

Tick Plan Investigations to show all available investigations, then tick the investigations required.

Blood Investigation

Imaging

✉ Generate Referral Letter

Complete the clerking form, then generate the referral letter.