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”

Lumbar Puncture Interpretation

Meningitis Routine Laboratory Results Specific Markers PCR May vary from center to center, but generally will detect E. coli, H. influenzae, N. meningitidis, Listeria monocytogenes, Streptococcus agalactiae, Streptococcus pneumoniae, CMV, Enterovirus, HSV 1/2, HHV-6, Human parechovirus, VZV, and Cryptococcus neoformans/gattii ADA (Adenosine Deaminase) Sensitivity and specificity for tuberculous meningitis varies depending cutoff level, however, approachesContinue reading “Lumbar Puncture Interpretation”