Lvr
Viral Hepatitis
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Viral Hepatitis
See Also
Acute Hepatitis
Hepatotoxin
Liver Function Test Abnormality
Acute Hepatic Failure
(
Fulminant Hepatitis
)
Viral Hepatitis
Causes
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis E
Epstein Barr Virus
(EBV)
Cytomegalovirus
(CMV)
Coxsackie
Virus
Symptoms
Prodrome
Malaise
Anorexia
Nausea
or
Vomiting
Diarrhea
Low Grade fever
Signs
Advanced disease
Dark Urine
Jaundice
Tender
Hepatomegaly
Differential Diagnosis
See
Acute Hepatitis Causes
Alcoholic Hepatitis
Hepatotoxin
s
Hypotension
Ischemia
Biliary tract disease
Labs
See
Acute Hepatitis
Alkaline Phosphatase
(up to twice normal)
Serum
Direct Bilirubin
(
Conjugated Bilirubin
) increased
Liver
Aminotransferase
s increased (up to 10-20 fold above baseline)
Alanine Aminotransferase
(ALT)
Aspartate Aminotransferase
(AST)
Viral Hepatitis Serology
Hepatitis A
xHAV IgM
Hepatitis B
HBsAg
xHBc IgM
Hepatitis C
xHCV Antibody
Management
See
Acute Hepatitis
Post-exposure Prophylaxis
See
Hepatitis A
See
Hepatitis B Postexposure Prophylaxis
No
Post-exposure Prophylaxis
is available for
Hepatitis C
(as of 2015)
Acute Viral Hepatitis
Symptomatic management is primary treatment for
Hepatitis A
and
Hepatitis B
Consider early
Interferon
based monotherapy for
Acute Hepatitis
C (started within first 4 weeks)
See
Hepatitis C
Prevention
See
Prevention of Liver Disease Progression
Vaccination
Combined Hepatitis A and Hepatitis B Vaccine
(
Twinrix
)
Hepatitis A Vaccine
Hepatitis B Vaccine
References
Swencki (2015) Crit Dec Emerg Med 29(11):2-10
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