dr Akshay Kapoor
Pediatric Gastroenterologist
BLK Super Speciality Hospital
About Author

Presentation: The classic presentation of acute viral hepatitis is a prodrome of fever, vomiting and malaise followed by onset of jaundice and right upper quadrant pain. The fever classically disappears with the onset of jaundice.

Approach: Any child with the aforementioned presentation should get the following tests done: CBC, LFT and PT/INR, in addition to clinical examination to document the liver span.

Abdominal ultrasound and viral markers are not necessary to make a diagnosis. Infact, viral markers are only required to confirm the etiology. G6PD level should be done in children with high bilirubin level (>10mg/dl) especially if there is evidence of peripheral hemolysis.

Management: Patients with a poor oral intake, persistent vomiting and dehydration need admission. Children who have an altered sleep wake cycle, disorientation or those with an INR>1.5 also requires urgent admission and care. Rest of the children can be managed on outpatient basis. The child should be on a normal diet; there is no role of fat or protein restriction. Rapidly rising INR, steep fall in the liver enzymes with a rising bilirubin level, decrease liver span on clinical examination and worsening encephalopathy are poor prognostic markers.

Posted On: 14/05/2018

Did you find this post helpful?
Yes (56)
No (14)
56 People found this post helpful.

Read more related information, Click Here

If you have a question on some other topic, Click Here

top hospitals in india
To visit our website please click here
BLK Super Speciality Hospital
Pusa Road, New Delhi-110005
Disclaimer: Although every effort is made to give correct knowledge but legality of every answer can not be guaranteed. All answers are based on professional knowledge of Specialists.