2019
Viral hepatitis
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Acute hepatitis Acute icteric hepatitis
Clinical manifestation of viral hepatitis
B Icterus stage
2-6 weeks
Jaundice peak in the next 1 - 3
weeks Digestive symptom relieve Elevated ALT and TBIL
C Convalescent stage
4-8 weeks
All symptoms gradually disappear Jaundice begins to subside ALT and TBIL levels become normal
head carcinoma
Acute icteric viral hepatitis
Therapy
Most people recover completely, Treatment should be focused on symptomatic and supportive treatments.
Acute icteric viral hepatitis
Differentiation diagnosis
Other factors causing jaundice
Hemolytic icterus
Extrahepatic oestructive
Drug
Infection
Cholecystitis 、Cholelithiasis、 Hepatic carcinoma、Pancreatic
△ Acute icteric viral hepatitis
Diagnosis
Clinical diagnosis
It’s diagnosis based on clinical symptoms rather than the cause diagnosis.
Etiology diagnosis Detecting hepatitis A/B/C/D/E virus
Diagnosis △ Differentiation diagnosis
Therapy
Acute icteric viral hepatitis
Definition
Acute ＜6 moths ，a self-limited disease
Icteric
jaundice yellowing of the skin and eyes because of the higher level of bilirubin in the blood
ALT, TBIL
2-6 weeks
※ Acute icteric viral hepatitis
Clinical manifestation
Convalescent stage
All symptoms gradually disappear. Jaundice begins to subside. ALT and TBIL levels become normal.
4-8 weeks
※ Acute icteric viral hepatitis
Clinical manifestation
A Pre-icterus stage
5-7days
Generalized weakness Fever Loss of appetite, nausea ,vomiting Abdominal distension Pain over the liver Dark or red urine Elevated ALT
Viral It can be caused by five main hepatitis viruses referred to as types A, B, C, D and E
Hepatitis liver injury
※ Acute icteric viral hepatitis Pre-icterus stage
Clinical manifestation
Feel weak and get tired easily
Fever
Loss of appetite, nausea ,vomiting
Abdominal distension
Dark or d urine
Pain over the liver ALT
Infectious diseases Acute icteric viral hepatitis
Department of Infectious Disease
姓名
Acute icteric viral hepatitis
Contents
Definition ※ Clinical manifestation
sclera skin skin urine
Icterus stage
Jaundice
The illness that makes your skin and eyes become yellow, as the result of elevated TBIL.
Jaundice reaches the peak in the next 1 - 3 weeks . Digestive symptom relieve Hepatomegaly
Rest
Light diet
Isolation
Acute icteric viral hepatitis
Therapy
Avoid alcohol
Avoid drugs that can injure the liver
Don’t need antiviral treatment, except Hepatitis C
5-7 days
5-7 days later
I feel much better!
The only question is ……
5-7 days later
I appear icteric !
※ Acute icteric viral hepatitis
Clinical manifestation