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Hepatitis Virus Screening

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INDICATIONS FOR TESTING New onset of symptoms (nausea, jaundice, fever, anorexia, dark urine)

Known prior hepatitis B infection

No known prior history of hepatitis

Consider coinfection with hepatitis delta virus (HDV)

See HDV Testing algorithm

ORDER Hepatitis Panel, Acute with Reflex to HbsAg Confirmation (includes the following): Hepatitis A Virus Antibody, IgM Hepatitis B Virus Core Antibody, IgM Hepatitis B Virus Surface Antigen with Reflex to Confirmation Hepatitis C Virus Antibody by CIA

HAV Abs +

HBV core IgM Abs + HBV surface antigen +

Negative hepatitis results HCV Abs +

Consider other etiologies Viral

Acute hepatitis A

Acute hepatitis B See HBV Testing algorithm

Hepatitis C

Cytomegalovirus Epstein-Barr virus Herpes simplex virus Varicella-zoster virus Toxin exposure Alcohol Tetrachloride Nonalcoholic acute steatohepatitis Drug-induced hepatitis Acetaminophen Antiseizure medications Isoniazid (Nydrazid) Oral contraceptives Rifampin (Rifadin) Sulfonamides Autoimmune Systemic lupus erythematosus Primary biliary cirrhosis Sclerosing cholangitis Autoimmune hepatitis Bacterial Leptospira spp Coxiella burnetii (Q-Fever) Rickettsia rickettsii (Rocky Mountain spotted fever) Treponema pallidum (Secondary syphilis) Sepsis Rickettsia typhi (typhus fever) Granulomatous M. tuberculosis Sarcoidosis Hereditary Wilson disease Hemochromatosis Alpha-1-antitrypsin deficiency Ischemia Parasitic Liver trematodes Toxocara spp
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