Yellow Eyes (HBV infection)

Physiology of the liver
1. Blood reservoir, Metabolism and homeostasis, Storage site, Detoxification, Bile formation
Biochemistry of bilirubin
Causes of loss of appetite
1. Bacteria and viruses Psychological causes Liver diseases Gastrointestinal cancer Pregnancy & Medications
Causes of nausea
1. Gastrointestinal Food poisoning Medications Disequilibrium Psychiatric Pregnancy
Hepatomegaly differential diagnosis
1. Alcoholic/ Nonalcoholic liver disease, Viral hepatitis, Liver cancer or metastasis, Genetic diseases, Heart and blood vessel problems, Liver nfections,Damage from toxins, liver and systemic diseases
Epidemiology of hepatitis
Types of Jaundice
Physical Examination
1. Eyes, Skin, Fingers (yellowish) Urine (Dark), Stools (Pale) Enlarged gallbladder Scratch marks, Xanthoma, Vitamins (A,D,E,K) deficiency,: Osteomalacia, Bruises, vision problems
Signs and symptoms
1. Acute
  1. fatigue, flu-like symptoms, dark urine, pale stool, abdominal pain, loss of appetite, weight loss, jaundice
2. Chronic
Risk factors
1. Health care workers, Asians and Pacific Islanders, Sewage and water treatment workers, People with multiple sexual partners, Intravenous drug users, HIV patients, People with hemophilia who receive blood.
Investigations
1. Blood tests (liver enzymes and viral DNA or RNA), antibodies to the hepatitis viruses, HBV Serology
Microbiology of hepatitis
Management
1. Hep B vaccine
  1. Interferon Alfa, Lamivudine

Resource summary

	Created by mohammed mansour about 6 years ago