Predominant age: can infect patients of all ages
Exposure: detailed family and social history
Fever, malaise, fatigue, arthralgias, myalgias
Anorexia, nausea, vomiting
Jaundice, scleral icterus
Dark urine, pale stools
Vaccinate for HAV if seronegative.
Monitor CBC, coagulation, electrolytes, glucose, renal function, and phosphate.
Monitor ALT and HBV DNA; increased ALT and reduced DNA implie...
Serial ALT and HBV DNA:
High ALT + low HBV DNA associated with favorable response to therapy
CBC for WBC and platelets if on interferon therapy
Schillie S, Vellozzi C, Reingold A, et al. Prevention of hepatitis B virus infection in the United States: recommendations of the Advisory Committee on Immunization Practices. MMWR ...
B19.10 Unspecified viral hepatitis B without hepatic coma
B16.9 Acute hepatitis B w/o delta-agent and without hepatic coma
B18.1 Chronic viral hepatitis B without delta-agent
Z22.51 Carrier of...
Screen all patients born in countries with endemic disease for HBV infection using HBsAg.
Patients with chronic HBV need lifetime monitoring for disease progression and HCC.
HBV is the s...
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