Gastroenterology Book

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Viral Hepatitis

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  1. Causes
    1. Hepatitis A
    2. Hepatitis B
    3. Hepatitis C
    4. Hepatitis D
    5. Hepatitis E
    6. Epstein Barr Virus (EBV)
    7. Cytomegalovirus (CMV)
    8. Coxsackie Virus
  2. Symptoms: Prodrome
    1. Malaise
    2. Anorexia
    3. Nausea or Vomiting
    4. Diarrhea
    5. Low Grade fever
  3. Signs: Advanced disease
    1. Dark urine
    2. Jaundice
    3. Tender Hepatomegaly
  4. Differential Diagnosis
    1. See Acute Hepatitis Causes
    2. Alcoholic Hepatitis
    3. Medications
    4. Hypotension
    5. Ischemia
    6. Biliary tract disease
  5. Labs
    1. Liver Function Tests Elevation
      1. Alanine Aminotransferase (ALT) elevated
      2. Aspartate Aminotransferase elevated
    2. Viral Serology Screening
      1. Hepatitis A
        1. xHAV IgM
      2. Hepatitis B
        1. HBsAg
        2. xHBc IgM
      3. Hepatitis C
        1. xHCV Antibody

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