Hepatitis B history and symptoms: Difference between revisions

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{{Hepatitis B}}
{{Hepatitis B}}
{{CMG}}
{{CMG}}


==Overview==
==Overview==
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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

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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

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