Elevated urinary bilirubinogen is most often seen in hepatocellular jaundice. Most of the conjugated bilirubin is excreted through the intestine to form fecal bilirubin. A small portion is reabsorbed into the blood through the intestine to form conjugated bilirubin, and a portion is excreted through the kidneys as urobilinogen, which is oxidized outside the body to form urochrome. The presence of elevated urobilinogen is indicative of jaundice. In the case of obstructive jaundice, urobilinogen will be negative, but in the case of hepatocellular jaundice urobilinogen may be positive. Relevant liver function tests and ultrasound of the liver are required for further exclusion. The presence of elevated urobilinogen may manifest as a yellowish urine color, golden or dark yellow. Further investigations may also be required for elevated blood bilirubin and elevated urinary bilirubin, with yellowing of the skin and mucous membranes.