Hepatitis B history and symptoms: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
No edit summary
Line 2: Line 2:
{{Hepatitis B}}
{{Hepatitis B}}
{{CMG}}
{{CMG}}


==Overview==
==Overview==
Line 8: Line 9:
Part of the initial evaluation for HBV infection include a thorough patient history focusing on potential modes and timing of infection.<ref name="pmid288148">{{cite journal| author=Klug WA, Capelhuchnick P, Gagliardi D, Oriente L| title=[Intestinal occlusion caused by spontaneous hematoma of the colon in a leukemia patient]. | journal=Rev Paul Med | year= 1979 | volume= 93 | issue= 1-2 | pages= 21-4 | pmid=288148 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=288148  }} </ref>
Part of the initial evaluation for HBV infection include a thorough patient history focusing on potential modes and timing of infection.<ref name="pmid288148">{{cite journal| author=Klug WA, Capelhuchnick P, Gagliardi D, Oriente L| title=[Intestinal occlusion caused by spontaneous hematoma of the colon in a leukemia patient]. | journal=Rev Paul Med | year= 1979 | volume= 93 | issue= 1-2 | pages= 21-4 | pmid=288148 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=288148  }} </ref>


Aspects covered in patients' history should include:
Aspects covered in patients' history include:<ref name="pmid288148">{{cite journal| author=Klug WA, Capelhuchnick P, Gagliardi D, Oriente L| title=[Intestinal occlusion caused by spontaneous hematoma of the colon in a leukemia patient]. | journal=Rev Paul Med | year= 1979 | volume= 93 | issue= 1-2 | pages= 21-4 | pmid=288148 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=288148  }} </ref>
 
*Exposure to blood and/or blood products
*Exposure to blood and/or blood products
*Injection drug use(IDU)
*Injection drug use(IDU)
Line 14: Line 16:
*Occupational exposure
*Occupational exposure
*Family history of HBV
*Family history of HBV
*Recent history of invasive procedures performed in non-hospital health care settings, including hemodialysis centers and long-term care facilities<ref name="pmid19124818">{{cite journal| author=Thompson ND, Perz JF, Moorman AC, Holmberg SD| title=Nonhospital health care-associated hepatitis B and C virus transmission: United States, 1998-2008. | journal=Ann Intern Med | year= 2009 | volume= 150 | issue= 1 | pages= 33-9 | pmid=19124818 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19124818  }} </ref>


History taking among immigrants from regions with a high prevalence of HBV should include questions  regarding family history of acute and/or chronic liver disease, rituals in which shared and non-sterile instruments were used such as scarification and piercing, and traditional medical procedures.<ref name="pmid288148">{{cite journal| author=Klug WA, Capelhuchnick P, Gagliardi D, Oriente L| title=[Intestinal occlusion caused by spontaneous hematoma of the colon in a leukemia patient]. | journal=Rev Paul Med | year= 1979 | volume= 93 | issue= 1-2 | pages= 21-4 | pmid=288148 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=288148  }} </ref>
History taking among immigrants from regions with a high prevalence of HBV should include questions  regarding family history of acute and/or chronic liver disease, rituals in which shared and non-sterile instruments were used such as scarification and piercing, and traditional medical procedures.<ref name="pmid288148">{{cite journal| author=Klug WA, Capelhuchnick P, Gagliardi D, Oriente L| title=[Intestinal occlusion caused by spontaneous hematoma of the colon in a leukemia patient]. | journal=Rev Paul Med | year= 1979 | volume= 93 | issue= 1-2 | pages= 21-4 | pmid=288148 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=288148  }} </ref>
   
   


In patients with chronic HBV,history taking should place special emphasis on risk factors
In patients with chronic HBV, history taking should include:<ref name="pmid288148">{{cite journal| author=Klug WA, Capelhuchnick P, Gagliardi D, Oriente L| title=[Intestinal occlusion caused by spontaneous hematoma of the colon in a leukemia patient]. | journal=Rev Paul Med | year= 1979 | volume= 93 | issue= 1-2 | pages= 21-4 | pmid=288148 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=288148  }} </ref>
 
The initial evaluation of patients with chronic HBV
 
infection should include a thorough history and physical
 
examination, with special emphasis on risk factors for
 
coinfection, alcohol use, and family history of HBV in-
 
fection and liver cancer. L
 
==Symptoms==
 
Approximately, 50% of adults with acute [[HBV]] infections are [[asymptomatic]]. However, clinical symptoms occur more often in adults than in infants or children, who usually have an asymptomatic acute course.<ref name="CDC">Center for Disease Control and Prevention. Hepatitis B Epidemiology and Prevention of Vaccine-Preventable Diseases 2012.http://www.cdc.gov/vaccines/pubs/pinkbook/hepb.html</ref>
Symptoms can include:
 
*Fever
*Fatigue
*Nausea
*Vomiting
*[[Loss of appetite]]
*[[Abdominal pain]]
*Dark urine
*Clay-colored bowel movements
*[[Joint pain]]
*Yellowish discoloration of the eyes and skin
 
 
 
== References == 
{{Reflist|2}}
 
[[Category:Needs overview]]
[[Category:Hepatitis|B]]
[[Category:Viruses]]
[[Category:Infectious disease]]
[[Category:Gastroenterology]]
[[Category:Mature chapter]]
[[Category:Disease]]
{{STD/STI}}
{{WH}}
{{WS}}
 
 
 
 
 
==History==


Acute HBV infection is frequently asymptomatic. The presence of symptoms depend on age and immunocompetence. History taking
*Medication history
The symptoms of HBV
*Smoking status
HBV infection may present  with symptoms  is often asymptomatic, but
*Alcohol consumption
*Drug abuse
*Sexual activity
*History of previous HBV treatment
*Anti-retroviral drug regimen if coinfected with HIV


==Symptoms==
==Symptoms==

Revision as of 20:24, 31 July 2014

Hepatitis Main Page

Hepatitis B

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Hepatitis B from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Ultrasound

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Hepatitis B history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Hepatitis B history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Hepatitis B history and symptoms

CDC on Hepatitis B history and symptoms

Hepatitis B history and symptoms in the news

Blogs on Hepatitis B history and symptoms

Directions to Hospitals Treating Hepatitis B

Risk calculators and risk factors for Hepatitis B history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Overview

History

Part of the initial evaluation for HBV infection include a thorough patient history focusing on potential modes and timing of infection.[1]

Aspects covered in patients' history include:[1]

  • Exposure to blood and/or blood products
  • Injection drug use(IDU)
  • Sexual exposure
  • Occupational exposure
  • Family history of HBV
  • Recent history of invasive procedures performed in non-hospital health care settings, including hemodialysis centers and long-term care facilities[2]


History taking among immigrants from regions with a high prevalence of HBV should include questions regarding family history of acute and/or chronic liver disease, rituals in which shared and non-sterile instruments were used such as scarification and piercing, and traditional medical procedures.[1]


In patients with chronic HBV, history taking should include:[1]

  • Medication history
  • Smoking status
  • Alcohol consumption
  • Drug abuse
  • Sexual activity
  • History of previous HBV treatment
  • Anti-retroviral drug regimen if coinfected with HIV

Symptoms

Approximately, 50% of adults with acute HBV infections are asymptomatic. However, clinical symptoms occur more often in adults than in infants or children, who usually have an asymptomatic acute course.[3]

Symptoms can include:



References

  1. ↑ 1.0 1.1 1.2 1.3 Klug WA, Capelhuchnick P, Gagliardi D, Oriente L (1979). "[Intestinal occlusion caused by spontaneous hematoma of the colon in a leukemia patient]". Rev Paul Med. 93 (1–2): 21–4. PMID 288148.
  2. ↑ Thompson ND, Perz JF, Moorman AC, Holmberg SD (2009). "Nonhospital health care-associated hepatitis B and C virus transmission: United States, 1998-2008". Ann Intern Med. 150 (1): 33–9. PMID 19124818.
  3. ↑ Center for Disease Control and Prevention. Hepatitis B Epidemiology and Prevention of Vaccine-Preventable Diseases 2012.http://www.cdc.gov/vaccines/pubs/pinkbook/hepb.html

Template:STD/STI Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Hepatitis_B_history_and_symptoms&oldid=1005556"