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Updated: Jan 13 2019

Hepatitis C Virus

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https://upload.medbullets.com/topic/121542/images/hep c.jpg
  • Snapshot
    • A 35-year-old man presents to his primary care physician for worsening abdominal pain and "yellowing" of the skin. He reports that his symptoms began a few weeks ago and is associated with pale stools and dark urine. He denies any sick contacts and cannot identify a likely cause of his symptoms. He endorses to using opiates use via injection and is sexually active with multiple men and inconsistently using condoms. On physical exam, scleral icterus is appreciated in an uncomfortable appearing man. Abdominal exam is notable for tenderness to palpation in the right upper quadrant with mild hepatomegaly. Laboratory testing is notable for elevated aspartate and alanine aminotransferases and HCV RNA and anti-HCV antibody levels.
  • Complications
    • Advanced hepatic fibrosis
    • Cirrhosis
    • Hepatic decompensation
    • Hepatocellular carcinoma
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