Acute hepatitis: Difference between revisions
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==Background== | ==Background== | ||
===Causes=== | ===Causes=== | ||
#Viral | #[[Viral Hepatitis|Viral]] | ||
#Alcohol | #Alcohol | ||
#[[Acetaminophen toxicity]] | #[[Acetaminophen toxicity]] | ||
Revision as of 19:01, 13 March 2015
Background
Causes
- Viral
- Alcohol
- Acetaminophen toxicity
- Mushroom toxicity (Amanita phalloides)
Clinical Findings
- N/V
- RUQ pain
- Enlarged, tender liver
- Fever
- Jaundice
- Bilirubinuria
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Pancreatitis
- Acute hepatitis
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Bowel obstruction
- Cirrhosis
- Budd-Chiari syndrome
- GU
- Other
- Hepatomegaly due to CHF
- Peptic ulcer disease with or without perforation
- Pneumonia
- Herpes zoster
- Myocardial ischemia
- Pulmonary embolism
- Abdominal aortic aneurysm
Treatment
- Treat underlying cause
Disposition
- Consider admission for:
- Bilirubin > 20
- PT 50% above normal
- Hypoglycemia
- Hypoalbuminemia
- Any GI bleeding
See Also
Source
- Tintinalli