This page has moved. Click here to view.

 

Viral Hepatitis

Acute viral hepatitis consists of hepatocellular necrosis and inflammation caused by A (HAV), B (HBV), C (HCV), D (HDV), or E (HEV). Chronic viral hepatitis is seen with HBV, HCV, and HDV infection. Hepatitis A and hepatitis E virus do not cause a chronic carrier state or chronic liver disease.

I. Clinical Manifestations of Viral Hepatitis

. 3. Physical Examination

B. Chronic Hepatitis

II. Diagnosis of Acute Hepatitis

2. In icteric patients, the bilirubin continues to increase as the aminotransferases decline and may reach 20 mg/dL. There are equal proportions of direct and indirect bilirubin.

3. The international normalized ratio is usually normal in acute hepatitis, but it can become prolonged in patients with severe