North South North West Statewide
All referrals should comply to referral standards and include in particular:
- Onset of symptoms
- Past history including previous jaundice
- Alcohol, smoking and illicit drug use
- Overseas travel
Initial work up:
- Hepatocellular (elevated transaminases):
- Viral serology: HAV, HBV, HCV, EBV, CMV
- Abdominal Ultrasound if cholestatic (elevated ALP & GGT)
- If isolated raised bilirubin: haemolysis screen
- Prothrombin time/INR
- Autoantibodies (SMA, AMA)
- Clinical evidence
- Abdominal ultrasound
- CT where appropriate
To refer a patient with this condition, please see the Gastroenterology clinic page for the full referral process and templates.
For more information please see the Tasmanian Health Pathways website.
Urgent / category 1
When patient presents with any of the following, contact Gastroenterology Registrar via switch 6166 8308:
Refer to Emergency Department OR Liver Clinic (depending on severity)
Semi-urgent / category 2
Unexplained non-obstructive cholestatic jaundice
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405 Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120 Fax: (03) 6426 5115
NWRH ED – Phone: (03) 6493 6340 Fax: (03) 6430 6691
RHH ED - Phone: (03) 6166 6100 Fax: (03) 6222 8919
We will endeavour to see these patients within four weeks
Urgent referrals should be accompanied by a phone call to the clinic and the relevant doctor for urgent assessment, or patient should be directed immediately to the Emergency Department.
We will endeavour to see these patients within 12 weeks
Next available appointment