Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Unspecified jaundice A form of jaundice where no cause is specified but the yellowishness of your skin and eyes. When the cause is not identified through tests, physicians use the ICD-10 code, R17. Jaundice is a situation that arises when bilirubin which is yellow color deposited in the body is accumulated.
He reviews your symptoms, alcohol history, medical history and family history, and initiates physical examination.
Lab tests include liver tests, total and direct bilirubin, CBC and viral hepatitis.
In the event of the inconclusive findings in the initial investigations he can authorize the administration of endoscopic ultrasound to provide the high quality picture or a liver biopsy to obtain tissue that will provide a definitive diagnosis.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
It is icterus of a nebulous etiology. It's listed under ICD-10 code R17.
This may be due to liver disease, obstruction of bile ducts, malfunction of red blood cells (hemolysis) or due to the effect of some medicaments or poisons or due to viral infections such as the hepatitis A, B or C.
There are other types of jaundice which are said to be brought about by "obstructive" jaundice (blocked bile ducts) or "hepatocellular" jaundice (damaged liver cells).
Blood (liver function, bilirubin, blood count, viral screens), ultrasound (imaging), CT, MRCP, and endoscopic ultrasound as well as liver biopsy are sometimes conducted by physicians.
Yes. Liver wellness can be obtained by not drinking alcohol, a balanced diet which consists of fruits, vegetables and lean protein and keeping the liver hydrated and makes sure that the liver exercises to have a healthy weight.
It is based on the cause. The patients will demonstrate the improvement within several weeks, and a part of them will require the extended follow-up and treatment.
They may not always be but may be used to relieve symptoms or treat underlying infection. They may include ursodeoxycholic acid to control the flow of bile, cholestyramine to alleviate itch, antivirals to treat hepatitis and vitamin supplements in case they are needed.
Yes. These procedures like ERCP and endoscopic ultrasound are not invasive with little risks associated in case they are done by competent specialists like Dr. Chadha.
Surgery is rare. It is typically performed in cases where endoscopic removal of a clogger is impossible, or the presence of a tumor.
Meanwhile, code R17 is charged and billed and insured pending the identification of the underlying cause of jaundice.
