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Hepatitis A
case study
By -sanya jhalani
Patient profile
• Name -Siyaram
• Sex -male
• Age -30 yr old
• Time of admission -2.00pm, 17/4/2020
Complaints
• Fatigue
• Fever and dry tongue
• vomiting
• Itchy skin and pale skin
• yellow skin
• Joint pain
• Dark urine
• Tan colored stool (diarrhea)
History of patient illness
• General weakness began 1 week ago
• Intensity of headache increased since then
• Loss of sleep from last 5 days.
• Flu like symptoms prior to coming to hospital.
Personal history
• No history of previous hospitalization
• No history of antibiotics use from last 3 month
• Not any travel history
• Visited a new restaurant 2 week ago.
• No such symptoms in past
• No previous surgeries
Family History
• No history of severe disease
• No cancer
• No liver disease
Further examination
• Bilateral yellow discoloration of eye
• Distended abdomen with mild tenderness in right
upper quadrant .
Examination
• Palpation
• CBC
• Urine Test
• Liver Function Test
• Biochemical
• Serological(ELISA)
• Ultrasound
Ultrasound
• Liver size increased by 1.5 cm and has no mass .
Splenomegaly is also seen. No stones seend in
cystic duct. pancreas are also normal.
Lab findings
• prothrombin time -increased
• ALT - increased
• AST - increased
• Total Bilirubin - 90microM/l (increased)
• HBs antigen - negative
• HAV RNA - positive
• Anti HAV - positive(IgM predominance)
• Thymol turbidity test - mild increased
Diagnosis confirmed
• Acute Hepatitis A, typical form, icteric period, mild
severity, Dehydration degree 2
Treatment
• Bed rest
• Exclude heavy fats from the diet
• Loperamide to treat diarrhea
• Intravenous Detoxification therapy
0.9%NACL
• Hepatoprotectors
Heptral 3times a day
Prophylaxis
• Vaccine
• After exposure to virus , a single dose of vaccine
within 2 weeks of contact with the virus has
protective effects.

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Hepatitis A

  • 1. Hepatitis A case study By -sanya jhalani
  • 2. Patient profile • Name -Siyaram • Sex -male • Age -30 yr old • Time of admission -2.00pm, 17/4/2020
  • 3. Complaints • Fatigue • Fever and dry tongue • vomiting • Itchy skin and pale skin • yellow skin • Joint pain • Dark urine • Tan colored stool (diarrhea)
  • 4. History of patient illness • General weakness began 1 week ago • Intensity of headache increased since then • Loss of sleep from last 5 days. • Flu like symptoms prior to coming to hospital.
  • 5. Personal history • No history of previous hospitalization • No history of antibiotics use from last 3 month • Not any travel history • Visited a new restaurant 2 week ago. • No such symptoms in past • No previous surgeries
  • 6. Family History • No history of severe disease • No cancer • No liver disease
  • 7. Further examination • Bilateral yellow discoloration of eye • Distended abdomen with mild tenderness in right upper quadrant .
  • 8. Examination • Palpation • CBC • Urine Test • Liver Function Test • Biochemical • Serological(ELISA) • Ultrasound
  • 9. Ultrasound • Liver size increased by 1.5 cm and has no mass . Splenomegaly is also seen. No stones seend in cystic duct. pancreas are also normal.
  • 10. Lab findings • prothrombin time -increased • ALT - increased • AST - increased • Total Bilirubin - 90microM/l (increased) • HBs antigen - negative • HAV RNA - positive • Anti HAV - positive(IgM predominance) • Thymol turbidity test - mild increased
  • 11. Diagnosis confirmed • Acute Hepatitis A, typical form, icteric period, mild severity, Dehydration degree 2
  • 12. Treatment • Bed rest • Exclude heavy fats from the diet • Loperamide to treat diarrhea • Intravenous Detoxification therapy 0.9%NACL • Hepatoprotectors Heptral 3times a day
  • 13. Prophylaxis • Vaccine • After exposure to virus , a single dose of vaccine within 2 weeks of contact with the virus has protective effects.