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Resolved Question: hepatitis AND HIV Q help??!!?

August 30th, 2007 by admin

Lil blackguard about me I am 21 and my fiancee is 23. we are getting married six month from now> he told me last week that he had hepatitis C when he was young. I didn't know what was it . until I google it. and its scears me. I was reading in this web site that said HCV is the same as HIV.?!I asked him if he can get tested. he told me he doesn't have anymore. but I insist that he need to get tested. yesterday I Took him to my Doctor to do the tested and I asked her . if the HCV and HIV are the same she said no. and she was asking my BF witch hep he had he didn't know. my doctor said. if he had HCV or Have will maybe still have but she think he had HAV.then she took some blood from him. then hes ganna get tested for hep BCA and HIV. my BF was my only partner and I was hes only partner so I know hes not ganna have any HIV but its not ganna hurt if get tested. the result will be out next week Iam so scear??!!!

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Resolved Question: What is HCV core virus? what happens when if that virus is active in our blood?

August 28th, 2007 by admin

In liver function test I have albumin 5.7( normal is 3.5-5.2) and globulin is 0.7(normal is 2-3.5). what happens for me due to this? and what treatment I should take and what medications?

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Resolved Question: can you help me with this difficult case….?

August 25th, 2007 by admin

Ms. A.b, 29 years old, female, married, G2P2, Filipino, Roman Catholic, resident of Cebu City, admitted for the 2nd time in Hospital X for abdominal enlargement. History: Six months prior to admission: -non-bloody, watery stools (1-2 episodes/day; 50 cc/episode) -no consult done -no medications taken Five months prior to admission: -Persistence of symptoms -Abdominal pain (prickling, intermittent without precipitating cause) -Gradual increase in abdominal girth -Easy fatigability -2-pillow orthopnea -Consult was done and nizatidine was given with other unrecalled medications Four months prior to admission: -increasing severity of easy fatigability -enlarge abdomen -consult was done at the ER and was subsequently admitted -Laboratory done: anemia and hypoalbuminemia -Abdominal and pelvic U/S and Barium enema – negative findings -Spironolactone, furosemide, and essentiale were given and transfusion of 2 units of packed red blood cells -Relief of symptoms -Patient lost to follow-up Three weeks prior to admission: -abdominal discomfort -abdominal enlargement -anorexia -Rapid weight loss (about 25%) One week prior to admission: -persistence of above symptoms -increasing abdominal girth -progressive episodes of dyspnea -episodes of diarrhea (soft stools amounting ½ cup/ episode; 2-3 times daily) -tea colored urine -no consult done -no medications taken Few hours prior to admission: -Severe progressive dyspnea -Consult at ER Past Medical History (-) Hypertension, DM, asthma, allergies and TB Admitted for childbirth and 4 months PTA for same problems Family History (+) Hypertension – both parents; (-) DM, asthma, malignancies Personal/Social History Non-smoker, non-alcoholic beverage drinker OB-GYN History G2P2 (2002) G1 – 1990, unremarkable G2 – March 2003, unremarkable No menses for the past 5 months. Previously on oral contraceptive pills then shifted to injectable contraceptive. Physical Examination Conscious, coherent, stretcher-borne BP: 100/60 mmHg HR: 89 bpm RR: 22cpm T: 37C HEENT: Pale palpebral conjunctivae, anicteric sclerae Neck: Supple, (-) neck vein engorgement, (-) cervical lymphadenopathy C/L: Symmetrical chest expansion, no retractions, clear breath sounds CVS: Adynamic precordium, AB 5th LICS, MCL, regular rate, normal rhythm, no murmur Abdomen: Globular, NABS, soft, non-tender, (+) palpable mass at the LUQ, firm, fixed extending to the R paraumbilical area Extremity: (+) grade 2 bipedal edema Course in the ward… First hospital day: -Spironolactone, aminoleban, ceftriaxone and vit. K were initially given. -Initial lab: anemia and leukocytosis with hyponatremia, hypoalbuminemia -Blood transfusion with 2 units of packed red blood cells. -Fecalysis – no parasites/ova seen -Chest x-ray – normal. Second hospital day: -paracentesis of ascetic fluid – leukocytosis with predominance of segementers -Repeat abdominal U/S – diffuse chronic liver parenchymal disease with normal sized spleen and massive ascites. Gallbladder, pancreas, kidneys and urinary bladder were normal. Third hospital stay: -Increased abdominal girth accompanied by dyspnea -Decrease in breath sounds over the Right lung field -Furoseminde was started -Repeat CXR – pleural effusion over the Right lung field -Repeat paracentesis -Thoracentesis was contemplated, however, patient could not tolerate an upright position -ABG – metabolic acidosis with low bicarbonate levels -Sodium bicarbonate was started Fourth hospital day: -patient develop hypotension (BP: 80/60 mmHg) -Improved with Dextran Fifth hospital day: -Again, hypotension developed refractory to dextran -Dopamine drip was started -Few hours later: progressive episodes of dyspnea prompting intubation -Patient went into cardiac arrest and expired! LABORATORY RESULTS CBC1st HD2nd HD3rd HD4th HD Hgb8.212.110.0 Hct0.280.380.31 RBC4.65.64.7 WBC13.511.214.1 Segs0.770.700.85 Lymph0.160.210.09 Eos0.020.020.01 Mono0.050.070.04 Stabs0.01 Platelets890749239 Retic Count2.83 BT (1-5’)2’00” CT(1-5’)3’30” PT (10-13.6)12.7 secs19.2 secs PTT(31.2-42.2)39.2 secs54.0 % Act (76-114)84.7%44.5% INR 1.101.71 Blood Chem1st HD2nd HD3rd HD4th HD Na135 meq/L118 K (3.5-5.1)3.5 meq/L3.73.8 RBS129 mg/dL77.4 BUN (1.7-8.3)3.4 mmol/L6.3 Crea (53-115)48 mmol/L100 AST (0-31)30.7 u/L73 ALT (0-32)41.9 u/L43 Alk Phos (50-136)106 ug/L831 Total protein (66-87)62.66463 Albumin (38-51)23.7302821 A/G ratio (0.5-2.5:1)0.6:10.9:10.8:10.7:1 Cholesterol6.0 Triglycerides4.5 HDL (1.16-1.68)0.2 LDL3.8 URINALYSIS1st HD3rd HD Color/TransparencyYellow/Clear pH/Sp.Gr.6.0/1.030 ProteinNegative SugarNegative RBC0-1 WBC0-1 Epith CellsFew Uric AcidOccasional BacteriaFew FECALYSIS Color/ConsistencyYellow/softGreenish-brown/watery Occult bloodNegative WBCOccasional RBCFew MicroscopyNegativeNegative HEPATITIS PROFILE HBsAgNon-reactive Anti-HBsNon-reactive HBeAgNon-reactive Anti-HBeNon-reactive Anti-HBc IgMNon-reactive Anti-HBc IgGReactive Anti-HAV IgMNon-reactive Anti-HAV IgGReactive Anti-HCVNon-reactive Peripheral Blood Smear: RBC: mild microcytosis, anisocytosis, and hypochromia with polychromasia WBC: Moderate shift to the left, no abnormal cells Adequate platelets Peritoneal Fluid Culture: No growth after 2 days Cell count Color: YellowLymph: 40% Transparency: turbidMono: 1% Total WBC: 1,728 cells/uLTotal cell count: 8,532 cells/uL Segs: 59%RBC count: 6,804 cells/uL Abdominal ultrasound Normal gallbladder, pancreas, spleen, and kidneys, urinary bladder Diffuse chronic parenchymal liver disease, Top normal-sized spleen Massive ascities Pelvic ultrasound: Normal uterus and adnexa Transvaginal ultrasound: Normal-sized uterus and adnexa; normal ovaries; ascites Abdomen, Barium enema: Essentially negative findings -end- Answer the following questions. 1.based on the history, physical examination on admission 1. what could be your impression or working diagnosis? Support your impression. 2. What could be two other differential diagnoses? Support. 3. What laboratory tests or procedures would you order? Why? 2.Interpret the course in the ward and he laboratory tests results of the patient. Knowing this, would you still stick with your impression or working diagnosis? If you do not agree anymore with your first impression, which differential diagnosis would you now consider? Or, would you have other differential diagnoses that were not considered during admission? 3. Support and discuss your final diagnosis. actually the lab result are in a table form but they can't be aligne. HD means Hospital day. Like each value is under a hospital day...like 1st 2nd or 3rd...

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Resolved Question: can i get HCV if i have open small open wound in my thumb and i shake other person with other 4 fingers?

August 23rd, 2007 by admin

i did that yesterday i shake some one with other 4 fingers and i have small wound in my thumb but my thumb skin contact skin of that person. i am not sure if this person complaint of HCV can this HCV spread thorough air?

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Resolved Question: i feel worry about ALT level in Liver Function Test, ?

August 12th, 2007 by admin

I did Liver function test in 22 MAy 2007 the results was ALT 68 ( 30 -65) AST 19 (15-37) TBIL 3.4 (0-17) DBIL 1.5 ( 0-5) LDH 118 (100-1900 ALP 77 (50-136) CREA 57 (53-125) CK 99 (21-232) in 11 Aug 2007 the results was ALT 61 (30-65) AST 21 (15-37) TBIL 3.3 (0-17) DBIL 1.4 (0-5) I feel worry about My ALT level because its high , i did HBV AND HCV tests and both was negative what do you think the causes for my ALT high values , in our lab they consider the second result normal but i know in other labsALT normal range is from 0 -40 or 0-32 or 7-56 my result is higher than all other normal range please help me i dont smoke or drink or take any medicine i also dont do intensive exercise in fact i did HBV AND HCV tests five times from 2001 to 2007 because i do blood donation every year and all these tests are negative , my tooth is not in good condition is this may be the cause? i also did ultrasound last year and the liver and spleen was normal but doctor told me that i have very tiny stone in my right kidney

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Resolved Question: treament of ascites?

August 10th, 2007 by admin

my sister about 29 years old unmarried, compalined about two month ago pain in abdomin,family doctor initialy treat this as regular stomach pain, but after 2 month of same situation he suggested ultrasound dof whole abdomin. the result was ascites. we further made different blood test like L.F.T, HCV,Albomin etc. all test are normal nothing problim showed except ascites. please help me to cop this. she had Jaundice about 7/8 years ago

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Resolved Question: I have been asked to get my anti HCV & HbsAG tests after LFT(sgot & sgpt) were done. I have tattoos on me.?

August 9th, 2007 by admin

I have been tested immune to HbsAg in march this year, as i have been vaccinated against it. and i am not sure about HCV.

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Resolved Question: I have HCV and would llike to chat with some people who an relate?

August 9th, 2007 by admin

I have been through the treatments and they didn't work. It's been about 8 months since I stopped treatment and I am afraid to go back to the dr.

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Resolved Question: Have you noticed how many questions are asked about Hepatitis C?

August 8th, 2007 by admin

Seven years ago, when I was blindsided by a Hep C diagnosis, the people in the medical field were saying how by 2010 we'd see an huge increase in people diagnosed and suffering the effects of liver disease caused by the HCV virus. Now, it seems like every few minutes there are questions about HCV or HBV (Hep B) on Yahoo. I hope if nothing else, people will learn about the risk factors, and get tested if they have any of them. Risk factors for HCV: blood transfusions before 1992 IV Drug use, even if only one time years ago tattoos, piercings, sharing razors or toothbrushes with someone who is infected, even if they don't know it yet (HCV can have no symptoms for years, even decades), snorting drugs & sharing the straw/dollar bill, pnuematic vaccinations by the military, exposure to blood (medical & dental personnel), kidney dialysis, passed from an infected mother to child at birth, sex if blood is exchanged (rough sex, anal sex, MSM, kinky sex, or sex with someone who is coinfected w coinfected with HIV. I am not coinfected. I ran out of room listing the risk factors for Hep C. :-) Hi Stephanie, hi Dan. Dan, have you listed your support group on other websites, or is it an online group only? Ladylove, sorry to hear about your oldfart. My thoughts are with you.

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Resolved Question: Question about provigil?

August 5th, 2007 by admin

I was prescribed provigil due to brain fog associated with many years of hcv infection and treatment 5 years ago. The brain fog was the only symptom that did not improve. I am only taking half strength (100 mgs). I have taken them for 6 days now, when do the side effects go away? (i.e., anxiety) brain fog is a neuro condition associated with hcv infection and/or chemo. many call it brain fog-mental fogginess, some call it chemo brain. i had brain fog long before chemo. doctors are using it for many who have hcv infection (resolved or active).

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