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Anicteric Viral Hepatitis


Presentation

  • This book presents the facts as they are known today and, in areas where all the facts are not established, presents the well-founded opinions of those considered to be authorities.[books.google.com]
  • Hans Popper, Fenton Schaffner Butterworth-Heinemann, ٠٣‏/٠٩‏/٢٠١٣ - 566 من الصفحات Progress in Liver Diseases, Volume II presents the progress made in the understanding of bilirubin metabolism and secretion.[books.google.com]
  • ‡Formerly, acting chief, Department of Viral and Rickettsial Disease, MGL (406) USAMC, Japan (present address, Department of Pathology, Yale University School of Medicine, New Haven, Connecticut). §Pathologist, Chinese Navy Medical Corps.[nejm.org]
  • In both children, bleeding secondary to thrombocytopenia was the initial presentation. An 8-month-old infant was anicteric at presentation and HAV infection was discovered during the course of investigations.[mjdrdypu.org]
  • Viral hepatitis is a common cause of jaundice, and should be considered in anyone presenting with high serum transaminases. It is also important to remember that often the disease may be anicteric (no jaundice present).[almostadoctor.co.uk]
Fever
  • […] caused by a virus; the principal physical signs and symptoms are enlargement of the liver, lymph nodes, and often the spleen, together with headache, continuous fatigue, nausea, anorexia, sudden distaste for smoking, abdominal pains, and sometimes mild fever[medical-dictionary.thefreedictionary.com]
  • The majority of patients with typhoid fever present with fever, malaise, abdominal discomfort, and hepatosplenomegaly. Typhoid fever may also cause liver injury with elevated aminotransferases and jaundice[ 18 ].[wjgnet.com]
  • Symptoms include anorexia, GI disturbances, and slight fever. Levels of aspartate aminotransferase and alanine aminotransferase are elevated. The infection may be mistaken for influenza or may be undetected. Compare hepatitis.[medical-dictionary.thefreedictionary.com]
  • He was provisionally diagnosed as a case of anicteric hepatitis with differential diagnoses of malaria and enteric fever due to their high prevalence in the area.[casesjournal.biomedcentral.com]
  • Symptoms may last a few days to a couple of weeks, and include: Fever Malaise Upper abdominal discomfort Jaundice – often lasts a few days to a few weeks and then subsides.[almostadoctor.co.uk]
Nausea
  • […] an·ic·ter·ic vi·ral hep·a·ti·tis a relatively mild hepatitis, without jaundice, caused by a virus; the principal physical signs and symptoms are enlargement of the liver, lymph nodes, and often the spleen, together with headache, continuous fatigue, nausea[medical-dictionary.thefreedictionary.com]
  • Diet: Clear liquid (if nausea), low fat (if diarrhea). 8. Special Medications: -Famotidine (Pepcid) 20 mg IV/PO q12h. -Multivitamin PO qd. 9. Symptomatic Medications: -Trimethobenzamide (Tigan) 250 mg PO q6-8h prn pruritus or nausea q6-8h prn.[fprmed.com]
  • Critical Essential Core Tested Community Questions (2) (M1.MC.16) A 35-year-old male comes to clinic with a 1 week history of diarrhea, fatigue, fever, and nausea.[medbullets.com]
  • Infection with the virus ranges from mild symptoms of nausea to, in very rare cases, liver failure. Symptoms are usually worse and the illness more often severe in older patients.[patient.info]
  • Persistent nausea and vomiting suggest severe hepatitis, and these increase the risk of hypoglycaemia. Hepatic encephalopathy, although rare, indicates the severity of the disease – basically indicating liver failure.[almostadoctor.co.uk]
Vomiting
  • He vomited thrice on day 1 and five times on the next day. Vomitus contained food particles and was devoid of blood.[casesjournal.biomedcentral.com]
  • Persistent nausea and vomiting suggest severe hepatitis, and these increase the risk of hypoglycaemia. Hepatic encephalopathy, although rare, indicates the severity of the disease – basically indicating liver failure.[almostadoctor.co.uk]
  • In the erythrocytic phase, symptoms such as cyclical fever, malaise, nausea, vomiting, diarrhea, tender hepatomegaly and splenomegaly develop[ 99 ].[wjgnet.com]
  • […] hepatocytes, leading to hepatocellular damage when the immune response to the infected hepatocytes is severe, it can result in severe hepatitis Prognosis typically a self-limited illness does not become a chronic condition Presentation Symptoms nausea and vomiting[medbullets.com]
  • Only symptoms of this phase are nausea, vomiting, abdominal pain, reduced appetite, loose stools, malaise and general ill feeling. This may last for 2-3 days after which jaundice appears. Urine becomes dark coloured, and stools light coloured.[childrenliverindia.org]
Abdominal Pain
  • […] mild hepatitis, without jaundice, caused by a virus; the principal physical signs and symptoms are enlargement of the liver, lymph nodes, and often the spleen, together with headache, continuous fatigue, nausea, anorexia, sudden distaste for smoking, abdominal[medical-dictionary.thefreedictionary.com]
  • Hepatitis Alcoholic hepatitis evident by fatty changes, cell death, and Mallory bodies Specialty Infectious disease, gastroenterology, hepatology Symptoms Yellowish skin, poor appetite, abdominal pain WHO fact sheet of hepatitis Viral Hepatitis at the[en.wikipedia.org]
  • Snapshot A 28-year-old man presents to his primary care physician for fatigue, malaise, and abdominal pain. He reports his symptoms began a few days ago and have progressively worsened.[medbullets.com]
  • Only symptoms of this phase are nausea, vomiting, abdominal pain, reduced appetite, loose stools, malaise and general ill feeling. This may last for 2-3 days after which jaundice appears. Urine becomes dark coloured, and stools light coloured.[childrenliverindia.org]
  • The clinical presentations include fever, abdominal pain, and hepatomegaly.[wjgnet.com]

Treatment

  • Attention is also given to the treatment of patients with concomitant autoimmune disorders, the management of HIV co-infection, and the management of HBV/HCV co-infection.[books.google.com]
  • It includes the latest information and recommendations specifically directed at the pediatric population, and highlights the knowledge gaps which will need to be filled to improve our understanding of these infections and treatment of this special group[books.google.com]
  • Treatment of GVHD consists of prophylactic measures and treatment of active disease. The most common prophylactic regimen is a combination of methotrexate and cyclosporine.[clevelandclinicmeded.com]
  • They Concluded Entecavir is an efficacious and safe treatment for severe HBV reactivation.[omicsonline.org]
  • Treatment No specific treatment is available. Follow the same advice as given in this chapter for hepatitis A. Prevention A vaccine is not available.[travmed.com]

Prognosis

  • […] cytoplasm of a hepatocyte, the virus replicates CD8 T-cells and natural killer cells destroy the infected hepatocytes, leading to hepatocellular damage when the immune response to the infected hepatocytes is severe, it can result in severe hepatitis Prognosis[medbullets.com]
  • Prognosis Excellent. It is usually self-limiting with no long-term sequelae. There is no carrier state and chronic liver disease does not occur.[patient.info]
  • Highest levels of HBcAg antibody are found in the chronic carriers but little or no HBsAg antibody As in acute hepatitis, seroconversion to anti-HBeAg is associated with a favorable prognosis.[web.biosci.utexas.edu]
  • Moreover this case also adds knowledge to the limited available data regarding complications and predictors of prognosis.[casesjournal.biomedcentral.com]
  • Aggressive changes may be seen in the course of uncomplicated acute viral hepatitis, but the prognosis in these cases is usually excellent.[penroseinquiry.org.uk]

Etiology

  • Other chapters consider the etiology of viral hepatitis. This book discusses as well the appearance of genetic considerations in liver disease, as a reflection of progress in this discipline.[books.google.com]
  • An attempt was made to study the outbreak clinically, serologically, and etiologically.[ijmm.org]
  • Hepatitis B by Kumbla Reethu Nayak Disease and Etiologic Agent The etiological agent of hepatitis B infection, formerly known as serum hepatitis, is the hepatitis B virus, which is a Hepadnavirus that attacks the liver causing inflammation of the liver[austincc.edu]
  • Thrombocytopenia may either be the initial manifestation [7], [13] or may develop late during the course of the HAV infection. [11] Decreased platelet count has been attributed to various etiologies like bone marrow depression, secondary to disseminated[mjdrdypu.org]
  • Newton JL, Hollingsworth KG, Taylor R, et al: Cognitive impairment in primary biliary cirrhosis: Symptom impact and potential etiology. Hepatology 2008;48(2):541–549.[clevelandclinicmeded.com]

Epidemiology

  • Koff Springer Science & Business Media, ٠٧‏/٠٩‏/٢٠٠١ - 339 من الصفحات Leading scientists, clinicians, and clinical investigators comprehensively review the epidemiology, molecular virology, diagnosis, treatment, and prevention of chronic hepatitis caused[books.google.com]
  • The different infections have different epidemiology and natural his- ries, and children play important roles in each of these.[books.google.com]
  • Its existence has been acknowledged for many years on the basis of epidemiologic and clinical data, mostly indirect and inferential.[nejm.org]
  • Indian J Med Microbiol 2 Epidemiology of Mammalian Hepatitis E Virus Infection Mamadou Kaba,Valérie Moal,René Gérolami,Philippe Colson Intervirology. 2013; 56(2): 67 3 Epidemiology of mammalian hepatitis e virus infection Kaba, M. and Moal, V. and GÃ[ijmm.org]
  • Epidemiology similar to HIV but HBV has higher infectivity.[web.biosci.utexas.edu]
Sex distribution
Age distribution

Pathophysiology

  • Approximately 80% of patients with PSC have inflammatory bowel disease, more commonly ulcerative colitis than Crohn’s disease. 21 Pathophysiology and Natural History The pathophysiology of PSC is unclear, but there is evidence suggesting an autoimmune[clevelandclinicmeded.com]
  • Pathophysiology Humans appear to be the only reservoir for the HAV. The incubation period usually lasts 2-6 weeks. The time to onset of symptoms may be dose-related. Viral replication depends on hepatocyte uptake.[patient.info]

Prevention

  • Koff Springer Science & Business Media, ٠٧‏/٠٩‏/٢٠٠١ - 339 من الصفحات Leading scientists, clinicians, and clinical investigators comprehensively review the epidemiology, molecular virology, diagnosis, treatment, and prevention of chronic hepatitis caused[books.google.com]
  • Prevent the absorption of ammonia from the bowel. B. Prevent hypoglycemia. C. Remove bilirubin from the blood. D.[quizlet.com]
  • Since this disease spreads through food, it is important to maintain good food hygiene to prevent this disease. Use of boiled water for drinking and cooking is easy way to prevent this disease.[childrenliverindia.org]
  • Prevention Hepatitis A is the most frequent vaccine-preventable disease in travellers. It can be a serious illness, particularly in the elderly. With proven means of prevention, it is important to pursue prevention actively.[patient.info]
  • Department of Health and Human Services, Centers for Disease Control and Prevention; 2005. Centers for Disease Control and Prevention. Hepatitis Surveillance Report No. 60. [ Google Scholar ] 46.[ncbi.nlm.nih.gov]

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