Page 265 - 2021 IDMT Digital
P. 265

HEPATITIS
          Introduction:
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            •  +HSDWLWLV $
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                 o  &OLQLFDO UHFRYHU\ ZLWKLQ   PRQWKV  GRHV QRW FDXVH FKURQLF GLVHDVH
            •  +HSDWLWLV %
                 o  ,QRFXODWLRQ by infected EORRG RU E\ VH[XDO FRQWDFW  YDFFLQH DYDLODEOH
                 o  &OLQLFDO UHFRYHU\ ZLWKLQ     PRQWKV
                 o  &KURQLF GLVHDVH GHYHORSV LQ      ZLWK ULVN IRU FLUUKRVLV KHSDWRFHOOXODU FDUFLQRPD
            •  +HSDWLWLV &
                 o  ,QRFXODWLRQ by LQIHFWHG EORRG  ORZ ULVN RI LQIHFWLRQ E\ VH[XDO FRQWDFW  QR YDFFLQH
                    DYDLODEOH
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                 o  &KURQLF GLVHDVH GHYHORSV LQ     ZLWK ULVN IRU FLUUKRVLV KHSDWRFHOOXODU FDUFLQRPD
            •  +HSDWLWLV '
                 o  &DXVHV KHSDWLWLV RQO\ LQ DVVRFLDWLRQ ZLWK +%9 LQIHFWLRQ DQG FOHDUV RQO\ ZKHQ
                    +%9 FOHDUV
            •  +HSDWLWLV (
                 o  )HFDO RUDO URXWH  VHOI OLPLWHG LOOQHVV  UDUHO\ SURJUHVVHV WR FKURQLF GLVHDVH
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  9DULDEOH UDQJLQJ IURP DV\PSWRPDWLF LQIHFWLRQ ZLWKRXW MDXQGLFH WR D IXOPLQDWLQJ
                    GLVHDVH ZLWK MDXQGLFH DQG GHDWK ZLWKLQ D IHZ GD\V
                 o  0DODLVH  P\DOJLDV  DUWKUDOJLDV  IDWLJXH  DQRUH[LD  QDXVHD  YRPLWLQJ  GLDUUKHD
            •  )RFXVHG +LVWRU\
                 o  7UDYHO
                 o  6H[XDO FRQWDFWV
                 o  ,9 GUXJ XVDJH
                 o  7UDQVIXVLRQV RU H[SRVXUH WR EORRG SURGXFWV
                 o  7DWWRRV DQG ERG\ SLHUFLQJV
          Objective:
            •  3K\VLFDO ([DP
                 o  9LWDO 6LJQV  IHYHU PD\ EH SUHVHQW
                 o  )XOO JDVWURLQWHVWLQDO H[DP
                 o  0D\ KDYH HQODUJHG  WHQGHU OLYHU
            •  7RROV
                 o  /DEV  &%&  PT/PTT/INR, hepatic function panel, DFXWH KHSDWLWLV SDQHO
                 o  5DG  IXUWKHU LPDJLQJ PD\ EH QHFHVVDU\  86 &7 05,
                 o  3RWHQWLDO OLYHU ELRSV\

















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