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
Serologic markers: See table.
CBC for WBC and platel...
Terrault NA, Bzowej NH, Chang K-M, et al. AASLD guidelines for treatment of chronic hepatitis B. Hepatology. 2016;63(1):261–283. [View Abstract on OvidMedline]
Cirrhosis of the Liver; Hepatitis A; Hepatitis C
Algorithm: Cirrhosis; Jaundice
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 for HBV infection in all patients born in countries with endemic disease using HBsAg.
Patients with chronic HBV need lifetime monitoring for disease progression and HCC.
HBV is th...
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