Case Control Study Hepatitis B virus infection, diabetes ...
Case study Hepatitis
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Transcript of Case study Hepatitis
![Page 1: Case study Hepatitis](https://reader036.fdocuments.in/reader036/viewer/2022071818/55b1a51cbb61ebed118b4673/html5/thumbnails/1.jpg)
Case Study
Hepatitis
![Page 2: Case study Hepatitis](https://reader036.fdocuments.in/reader036/viewer/2022071818/55b1a51cbb61ebed118b4673/html5/thumbnails/2.jpg)
Patient’s Profile
• Name: Mr. Grey• Sex: Male• Age: 37• Civil status: Unmarried• Date admitted: 15/03/15• Time: 17:26• Weight: 72 kg• Height: 184 cm
![Page 3: Case study Hepatitis](https://reader036.fdocuments.in/reader036/viewer/2022071818/55b1a51cbb61ebed118b4673/html5/thumbnails/3.jpg)
Complaints
• General weakness• Headache• Restlessness• Loss of sleep
![Page 4: Case study Hepatitis](https://reader036.fdocuments.in/reader036/viewer/2022071818/55b1a51cbb61ebed118b4673/html5/thumbnails/4.jpg)
History of present illness
• Mild headaches, restlessness and the loss of sleep started occurring 6 months ago.
• General weakness began 3 weeks ago.• The intensity of headache increased since
then. • There weren’t any additional symptoms.
![Page 5: Case study Hepatitis](https://reader036.fdocuments.in/reader036/viewer/2022071818/55b1a51cbb61ebed118b4673/html5/thumbnails/5.jpg)
Personal History
• There weren’t any previous hospitalizations• There are no records of substance abuse• Currently is not under any medications except
the occasional usage of ibuprofen for the headaches (1-2 times per day)
• No records of alcoholism or tobacco smoking• Sexually active with several partners
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Family History
• There are no cancer histories• There were no Hepatitis B, Uterine Fibroid and
Heart diseases from the mother’s side
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Examination findings
• No abnormal findings• No manifestations of jaundice or
hepatosplenomegaly• Appetite is mildly diminished• Normal urine and stool output
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Laboratory Findings
• AST: 349• ALT: 452• Total bilirubin: 0.9• Platelet count: 210k• HBsAg: positive• HBeAg: negative• Anti-Hbe: positive• Anti-HCV: negative• HBV DNA 110 IU/mL
![Page 9: Case study Hepatitis](https://reader036.fdocuments.in/reader036/viewer/2022071818/55b1a51cbb61ebed118b4673/html5/thumbnails/9.jpg)
Ultrasound
• Liver normal size and texture with no mass, borderline splenomegaly
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Inactive carrier state
• HBeAg negative• Persistently normal ALT• Serum HBV DNA persistently undetectable or
< 2000 IU/mL• Several follow-ups necessary to differentiate
inactive carriers from patients with HBeAg-negative chronic hepatitis B and intermittently normal ALT