Hepatitis B ultrasound: Difference between revisions
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==Ultrasound== | ==Ultrasound== | ||
The following findings may be identified: | The following findings may be identified:<ref name=WHO1>{{cite web | title = Hepatitis D | url = http://www.who.int/csr/disease/hepatitis/HepatitisD_whocdscsrncs2001_1.pdf }}</ref> | ||
*Coarse [[echogenicity]] | *Coarse [[echogenicity]] | ||
*Segmental [[hypertrophy]] with nodular appearance of [[liver]] | *Segmental [[hypertrophy]] with nodular appearance of the [[liver]] | ||
*[[Portal hypertension]]: | *[[Portal hypertension]]: | ||
:*[[Splenomegaly]] | :*[[Splenomegaly]] | ||
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[[File:Cirrhosis and ascites.JPG|thumb|center|250px|Ultrasound image demonstrating a cirrhotic liver and ascites]] | [[File:Cirrhosis and ascites.JPG|thumb|center|250px|Ultrasound image demonstrating a cirrhotic liver and ascites]] | ||
[[HBsAg]] carriers should have regular serial [[serum]] [[alpha | [[HBsAg]] carriers should have regular serial [[serum]] [[alpha-fetoprotein]] determinations, and [[ultrasound]] examinations for those above 40 years of age (with 6 month intervals).<ref name=WHO1>{{cite web | title = Hepatitis B | url = http://www.who.int/csr/disease/hepatitis/whocdscsrlyo20022/en/index3.html }}</ref> | ||
Both these tests are recommended to be repeated regularly for all [[HBsAg]] carriers with [[cirrhosis]].<ref name=WHO1>{{cite web | title = Hepatitis | Both these tests are recommended to be repeated regularly, for all [[HBsAg]] carriers with [[cirrhosis]].<ref name=WHO1>{{cite web | title = Hepatitis D | url = http://www.who.int/csr/disease/hepatitis/HepatitisD_whocdscsrncs2001_1.pdf }}</ref> | ||
[[File:HCC ultrasound1.png|thumb|center|250px|Large HCC filling portion of the right lobe]] | [[File:HCC ultrasound1.png|thumb|center|250px|Large HCC filling portion of the right lobe]] | ||
Revision as of 00:29, 4 August 2014
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Hepatitis B |
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Diagnosis |
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Treatment |
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Case Studies |
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Hepatitis B ultrasound On the Web |
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American Roentgen Ray Society Images of Hepatitis B ultrasound |
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Risk calculators and risk factors for Hepatitis B ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
The ultrasound may be used as a screening tool in patients with chronic hepatitis for the early detection of hepatic cirrhosis. HBsAg carriers with cirrhosis should be echographically evaluated every 6 months.
Ultrasound
The following findings may be identified:[1]
- Coarse echogenicity
- Segmental hypertrophy with nodular appearance of the liver
- Portal hypertension:
HBsAg carriers should have regular serial serum alpha-fetoprotein determinations, and ultrasound examinations for those above 40 years of age (with 6 month intervals).[1]
Both these tests are recommended to be repeated regularly, for all HBsAg carriers with cirrhosis.[1]
References
- ↑ 1.0 1.1 1.2 "Hepatitis D" (PDF).