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Showing posts from September, 2018

A tool for calculating severity of alcoholic hepatitis and hence prognosis

https://www.mdcalc.com/maddreys-discriminant-function-alcoholic-hepatitis This is useful for medics and liver specialists only.

Liver cirrhosis prognostic score - a tool for clinicians and medics

https://www.msdmanuals.com/en-gb/medical-calculators/ChildTurPuScore.htm

Is there cure for hepatitis B?

A question I get commonly asked is whether there is yet a cure for hepatitis B infection. I will attempt to provide an answer and some explanations in this post. Cure as defined for hepatitis B is achievable, depending on certain factors. In acute infection, by which we mean infection lasting less than 6 months occurring in adults, there is almost certainty that more than 8 out of ten persons would completely eradicate the virus from their system. The small proportion of those that are not lucky to clear the virus would progress to chronic infection. Chronic here, does not imply severity, but defines the fact that the infection has lasted beyond 6 months. In the latter scenario, one of 5 possibilities (see previous posts) would ensue. Not all chronically infected hepatitis B patients would need treatment. Note that I did not say, would not qualify. There is no need to swallow tablets and develop side effects from the drugs when it is not needed. Your specialist would investiga...

Notes on Hepatitis B

Implications of a positive hepatitis B test What screening test do clinicians normally undertake to check for hepatitis B? It is common practice, either as part of pre-employment exercise or in order to screen for blood transfusion that a small about of blood is obtained and test for some infections, one of which is viral hepatitis. Most laboratories carry out hepatitis B screening test. It is very surprising that in some countries, screening for hepatitis C is not done prior to phlebotomy for blood transfusion services. If a test returns as HBsAg reactive, what do I do? A reactive test means that you are secreting a protein in your blood, a product of the hepatitis B virus. The virus has infected your system and is now using some of your genetic materials to produce its products, one of which is the surface protein. This is secreted in excess in the blood stream and thus is a surrogate marker of infection by the virus. A reactive test does not reveal whether or not the in...