Viral Hepatitis

Hepatitis A Virus (HAV) Transmission: Fecal-oral Presentation: Febrile illness, nausea/vomiting, diarrhea, anorexia, abdominal distension, rarely causes fulminant liver disease Diagnosis: Hepatitis A Virus IgM Management: Conservative management Hepatitis B Virus (HBV) Transmission: Blood, sex, vertical (mother-to-baby) Presentation Acute: Similarly to Hepatitis A: Febrile illness, nausea/vomiting, diarrhea, abdominal pain. Rarely, jaundice and fulminant liver disease. Chronic:Continue reading “Viral Hepatitis”

GI Bleed

When to be suspicious Visible hematemesis, hematochezia, or melena Hypotension Tachycardia Unexplained anemia Acute: Normocytic Chronic: Microcytic (from iron deficiency) Elevated BUN (from reabsorption of RBC breakdown products in GI system) Upper GI Bleed Proximal to ligament of Treitz (at duodenojejunal flexure) Hematemesis or melena, can potentially present with hematochezia if bleed is brisk enoughContinue reading “GI Bleed”