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.
Suspected acute, severe or fulminant hepatic failure
Direct referral to Emergency Department
Please contact Emergency Department Medical Officer in Charge via RHH switchboard 6166 8308
Urgent / category 1
When patient presents with any of the following, contact Gastroenterology Registrar via switch 6166 8308:
ALT>1000, abnormal INR, encephalopathy
Severe clinical or biochemical hepatocellular jaundice
Refer to Emergency Department OR Liver Clinic (depending on severity)
Obstructive jaundice (dilated ducts)
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).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
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