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Initiation Date of Suspected Herbal Medicine
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Discontinuation Date of Suspected Herbal Medicine
Onset Date of Suspected HILI
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Suspected Herbal Medicine Composition:
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(do not use proprietary or local names)
Untitled checkboxes field
Was the preparation Non-standardised or locally made?
Potential Hepatotoxicity recognised in Alternative Literature
Was the preparation Multi-Ingredient(10+)?
Symptoms
Pruritus
Rash
Fever
Loss of appetite
Joint Pain
Nausea
Dark Urine
Light stool
Jaundice
Any Non-Herbal Prescription Medication consumed?
Composition
Duration:
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