dr Mridul Chandra Das
Pediatric Gastroenterologist
Centre for Child Health, BLK Super Speciality Hospital
About Author

Acute Viral Hepatitis can be well managed by pediatrician. However, patients should be referred to the higher center or a pediatric gastroenterologist in the following situations –

  1. Any complication of Hepatitis like intra-vascular hemolysis, prolonged cholestasis(>12 weeks), acute liver failure, pancreatitis, etc.
  2. Deterioration of LFTs like poor synthetic function – hypoalbuminemia, deranged Prothrombin Time/INR
  3. Suspicion of underlying chronic liver disease – firm irregular liver, splenomegaly, palpable liver with deranged INR, negative viral markers, recurrent jaundice and family history of chronic liver disease, ascites etc.
  4. Clinical deterioration of patients like – persistent vomiting, irritability, hypoglycemia, rapidly reducing liver size or non-palpable liver etc.
  5. Relapsing Hepatitis

Posted On: 11/01/2019

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