Hepatitis B history and symptoms
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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 should include:
- Exposure to blood and/or blood products
- Injection drug use(IDU)
- Sexual exposure
- Occupational exposure
- Family history of HBV
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 place special emphasis on risk factors
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.[2]
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
- ↑ 1.0 1.1 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.
- ↑ 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
History
Acute HBV infection is frequently asymptomatic. The presence of symptoms depend on age and immunocompetence. History taking The symptoms of HBV HBV infection may present with symptoms is often asymptomatic, but
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.[1]
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
- ↑ 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