Classification

Untitled

• STI
  • HBV, HCV
  • Rimming → HAV (MSM)

Complication (Chronic)

• Acute
  • HAV , HBV , HCV , HDV, HEV
  • Lead to severe Hepatitis (ALT (< 40) ! > 1000)
• Chronic ( 6 mon)
  • HBV , HCV , HEV
  • Lead to mild Hepatitis (ALT (< 40) ! < 300)
• Cirrhosis
• !Liver Failure
  • Acute: can have Fulminant failure (rare), risk increase with age
  • HEV mortality risk increase with Pregnancy
• HCC - Liver Cancer

Presentation

• Can be asymptomatic
• Abdominal Pain
• Hyperbilirubinemia, Hepatomegaly
• Flu-like Symptoms
• HAV and HEV → + Gastroenteritis
  • Younger (< 6 yr): less likely to develop hepatic symptom

Labs

• Non-specific
  • Liver Enzymes
    • Acute: ALT (< 40) ! > 1000;
    • Chronic (6 mon), (ALT (< 40) ! < 300)
  • LFT - Liver Function Test
  • Urine analysis: Urine bilirubin , Urine urobilinogen