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Doctor insights on: Diagnosis Of Hbv

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What is the sequence of seroconversion of hepatitis b markers?

What is the sequence of seroconversion of hepatitis b markers?

See below: First you will see hepatitis b virus dna and surface antigen. E antigen will also show up around this time. Next will be core IgM and then total core antibody and hep e antibody. After several months you develop surface antibody. This is for someone that clears the virus. ...Read more

Dr. Anne Larson
1,063 doctors shared insights

Hepatitis B (Definition)

A serious liver infection caused by the hepatitis B virus that's easily ...Read more


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Treatment of hepatomegaly and its diagnosis?

Treatment of hepatomegaly  and its diagnosis?

Get some tests: There are a number of reasons for hepatomegally, or enlarged liver. Heart disease, vascular diseases, blood clotting disorders viral syndromes, diabetes, cirrhosis, cancers, and even infectious diseases can cause an enlarged liver a complete physical and history will guide the evaluation. Imaging studies and even a liver biopsy may be needed to make a diagnosis. Therapy will depend on diagnosi. ...Read more

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What is the role of antigen detection for diagnosis of tropical pulmonary eosinophilia?

What is the role of antigen detection for diagnosis of tropical pulmonary eosinophilia?

Find the parasite: Find the specific parasite causing the lung inflammation with cells called eosinophils and high eosinophil count in the blood. I am certainly not an expert in this disease which we see very infrequently in the us, especially the northern states.I is actually an allergic reaction to a papasite and not a pulmonary infection. ...Read more

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Whate is the treatment of hepatitis b virus ? (medication)

Whate is the treatment of hepatitis b virus ? (medication)

Several methods: Interferon (pegasys (peginterferon alfa 2a) is recommended) can be used to treat hep b. Lamivudine, an HIV med can be used (as well as several others). Entecavir and adefovir are also used. They are all generally well tolerated except the interferon classes. They cause fever, chills, nausea, vomiting...Like you have the flu. ...Read more

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Please help interpret. Hbv viral load of 2255 and hbveag negative?

Please help interpret.  Hbv viral load of 2255 and hbveag negative?

Active Hepatitis B: This represents active hepatitis b disease. It certainly needs further investigations so that appropriate treatment can be initiated. ...Read more

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What is required for a proper diagnosis of Alzheimer's disease beyond the signs of dementia?

What is required for a proper diagnosis of Alzheimer's disease beyond the signs of dementia?

Medical examination: It is important to exclude the possibility that the signs of dementia are caused by some reversible condition, e.g. Vitamin B12 deficiency, . ...Read more

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What are the odds of having a faulty HIV test? This includes antigen, PCR RNA tests, and antibody tests.

What are the odds of having a faulty HIV test? This includes antigen, PCR RNA tests, and antibody tests.

HIV testing...: 4th gen HIV testing and other tests are all fairly accurate. If there are concerns they can be repeated. If negative results 6 months after concerning exposure it is highly unlikely that results are inaccurate. Talk to your doctor about results if you are concerned and always remember to limit your risks with future sexual encounters: use protection, avoid high risk scenerios ...Read more

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What clinical signs are required for a diagnosis of hypostatic pneumonia?

What clinical signs are required for a diagnosis of hypostatic pneumonia?

Excessive lying on b: Hypostatic pnumonia occurs in old and weak patients due to excessive lying in bed.It is the result of collection of fluid in the dorsal area of the lungs symptoms are 1discomfort or tightness in chest 2shallow breathibg 3cough 4spitting up mucus, sometimes with a little blood 5fever 6cyanosis(blue tinge in skin and mucous membranes) if not recognized and treated can end in respiratory failure. ...Read more

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Whats the best treatment for a patient of HIV that has 649 CD4 and viral load of 7, 300.00 ?

Whats the best treatment for a patient of HIV that has 649 CD4 and viral load of 7, 300.00 ?

Get on treatment: Ok..In english..There are great treatment options. Its important to get you undetectable. Also..While everyone seems obsessed with the cd4 count..Its the % thats the most important and meaning ful. What was that? The closer to and above 30 you can get the better. Its pretty easy to get you on a once a day treatment. I don't favor the one pill a day option because there are better options. ...Read more

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Is part of the diagnosis of schizophrenia to doubt diagnosis?

Is part of the diagnosis of schizophrenia to doubt diagnosis?

It can be: People with psychotic disorders may lack insight into their illness. Most people don't want to have something wrong with them, so "denial" is common in many people struggling with psychiatric problems. ...Read more

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Are there lab tests to confirm the diagnosis of mumps?

Are there lab tests to confirm the diagnosis of mumps?

Yes: There is blood test to diagnose mumps, it can tell you if your are having mumps at present or you had it in the past.You get blood result in2 days ...Read more

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Which of these 3 hep c antibody screening tests(methodology)is the most accurate: Architect Anti-HCV, Advia Centauer HCV or Roche Eclia?

Which of these 3 hep c antibody screening  tests(methodology)is the most accurate: Architect Anti-HCV,  Advia Centauer HCV or Roche Eclia?

About equal: All three methods are FDA approved and about equally accurate. If you have concern about active Hep C infection, get a Hep C nucleic acid test. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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What is the latest development of hepatitis b treatment?

Antivirals: The most commonly used antiviral medications against hepatitis b are Entecavir and tenofovir. Both are well tolerated and do a great job stopping the hbv from making copies of itself. No medications cure hepatitis b so many people have to take them indefinitely. Gilead is working on an immune enhancer drug that might help control hbv as well as a tenofovir-like drug with fewer kidney problems. ...Read more

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Which Tests most accurate for diagnosis of Myocarditis and Pericarditis?

Which Tests most accurate for diagnosis of Myocarditis and Pericarditis?

Physician evaluation: There is no single test, complete history, physical exam, etc are needed before an accurate diagnosis can be made. ...Read more

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What is necessary for a proper diagnosis of Alzheimer's disease beyond signs of dementia?

What is necessary for a proper diagnosis of Alzheimer's disease beyond signs of dementia?

Test exam: A full exam by a qualified expert in the field; MRI or ct of the brain often done; lab work to r/o reversible causes; consideration of depression as a cause or contributing; a full review of medications; avoidance of alcohol; consider full neuropsychol testing as well. ...Read more

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How do alyssa and PCR in context of hepatitis C treatment differ?

How do alyssa and PCR in context of hepatitis C treatment differ?

Exposed/infected: The elisa detects antibodies made by the body against hepatitis c. About 25% of people will spontaneously clear the hepatitis c infection. So the RNA pcr test looks for the actual hepatitis c virus, which is found in everyone who has active infection. These are the people who are infectious, can have liver damage, and may need treatment. ...Read more

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Coexistence of hbsag and anti hbs?

Coexistence of hbsag and anti hbs?

It's possible.: When HBsAg and HBsAb are detected simultaneously, the first thing to do is to recheck the labs to be sure it is not in error. If it is confirmed, it is a rare instance of a mutation in the HBsAg region, and there is not good data about the response to conventional therapies. Be sure you were seeing an experienced hepatologist if this is present. Good luck. ...Read more

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What's the significance of hepatitis b immunoglobulins?

What's the significance of hepatitis b immunoglobulins?

Post-exposure : Prophylaxis. Hep b Immune Globulin is given following exposure to hep b to prevent infection. It should be followed three weeks later with hep b vaccine. ...Read more

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What is the accuracy of the RNA HIV test?

What is the accuracy of the RNA HIV test?

Not for diagnosis: It's very useful for monitoring the response to hiv, and it's accurate to diagnose or rule out acute HIV infection in someone with symptoms, but for simply diagnosing HIV infection, the HIV serology (antibody test) is better. That's because people who aren't infected can have false positive RNA tests, and people who are positive can have false negative RNA test. ...Read more