Info
Symptoms of HBV Clinical Presentation
- Patients with Hepatitis B (HBV) are usually asymptomatic. When symptomatic, common complaints include:
- fatigue,
- nausea,
- anorexia,
- myalgias,
- arthralgias,
- asthenia,
- weight loss (except where ascites). Poor correlation between symptoms and disease stage or transaminase elevation.
- Note: For patients with cirrhosis, abrupt change in clinical symptoms or lab findings suggests spontaneous bacterial peritonitis (SBP): tap ascites!
- Depends on stage of disease.
- Skin disorders: spider angiomas.
- Stigmata of cirrhosis:
- ascites,
- jaundice,
- hepatomegaly,
- splenomegaly,
- peripheral edema,
- hemorrhoids,
- caput medusa.