HEPATITIS A

1. CHIEF COMPLAINT
•Hepatitis A

2. HPI

3. ROS

4. SYMPTOMS
•Anorexia
•Nausea
•Vomiting
•Fatigue
•Malaise
•Low-grade fever
•Myalgia
•Headache
•Dark urine
•Pale stool
•Jaundice
•Abdominal pain
•Pruritus
•Arthralgias
•Skin rash

5. HISTORY
•FAMILY HISTORY
•SOCIAL HISTORY
•PAST MEDICAL HISTORY
•SURGICAL HISTORY
•CHRONIC CONDITIONS

6. ALLERGIES

7. PHYSICAL EXAMINATION
•Hepatomegaly
•Jaundice
•Scleral icterus
•Fever
 8. SPECIFIC DATA LIKE GRADING ETC

9. TESTS TO BE ORDERED
•Anti–hepatitis A virus immunoglobulin M
•Liver enzymes
•Hepatic synthetic function
•Bilirubin level
•Prothrombin time
•CBC count
•Molecular diagnostic techniques performed on blood and
feces for hepatitis A virus RNA are purely research tools.
•Serum acetaminophen
•Liver biopsy

10.ASSESSMENT /PLAN
Surgical Care
•Liver transplantation

11.EDUCATION
Diet
•Encourage an adequate diet. Patients should avoid alcohol and
medications that may accumulate in liver disease. Otherwise, no
specific dietary restrictions are necessary.
Activity
•Bed rest during the acute illness may be important, although data
to support this practice are lacking. Restricting transmission is
important, especially in the early phases of the illness. Returning to
work should probably be delayed for 10 days after the onset of
jaundice.

12.MEDICATION
•Acetaminophen
•Metoclopramide
•Hepatitis A vaccine, inactivated
•hepatitis B vaccine
•Immune globulin, intramuscular

13.FOLLOW-UP