Miradautas Vras
Forum Senior
Topics: 8
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options? pasting whole question would be better, but at least give options!!
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Man who fights too long against the dragons becomes a dragon himself.
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| AAzad
Forum Guru
Topics: 55
Posts: 456
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I want your exact Dg and next step , it is a real case.
Thank you for your response and
Good luck
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AAzad
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| hanialkhadher
Forum Elite
Topics: 16
Posts: 256
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Window phase in acute HCV ? 
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"أقرأ بأسم ربك الذي خلق,خلق الأنسان من علق,أقرأ و ربك الأكرم, الذي علم بالقلم,علم الأنسان ما لم يعلم"
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| AAzad
Forum Guru
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could be , what is your next step?
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AAzad
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| hanialkhadher
Forum Elite
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Posts: 256
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Measure Liver Enzymes , if High Give ttt?
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"أقرأ بأسم ربك الذي خلق,خلق الأنسان من علق,أقرأ و ربك الأكرم, الذي علم بالقلم,علم الأنسان ما لم يعلم"
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| drdg
Forum Senior
Topics: 31
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Anti-HCV (antibodies to the virus) may not be present in the first four weeks of infection.
HCV-RNA and RT-PCR tests can determine HCV presence in as little as 1-2 weeks.
Therefore, the diagnosis is early HCV infection.
The next step will be liver function measurement. Not treatment.
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| neuroblastoma
Forum Guru
Topics: 100
Posts: 1,018
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active heaptitis No treatment
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| dr.wad
Forum Senior
Topics: 3
Posts: 335
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HCV RNA is the first test would be positive in acute HCV.
it could be positive while other markers are negative .
Tx : interferon and lumavudine
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| Ivonne
Forum Guru
Topics: 55
Posts: 1,452
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I agree with everyone about the serologic markers pointing HEP C ACUTE INFECTION but at this point supportive treatment is the mainstay and the use of antiviral therapy is not defined. But i think the next step should be evaluate liver profile, concomitant infection(HIV, hep C, etc), h/o alcoholism, comorbidities.
I read that the indication for treatment is: increased ALT and active inflammation and some fibrosis on biopsy but I don't know when biopsy is indicated.
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| AAzad
Forum Guru
Topics: 55
Posts: 456
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excellent all of you ,but , why did not any of you suggested Viral load /quant test/pcr(only drdg suggested pcr).
waiting
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AAzad
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| Ivonne
Forum Guru
Topics: 55
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Quantitative assays are available, but HCV viral load has not been definitively shown to be useful in predicting outcome (unlike HIV viral load).
http://www.emedicine.com/ped/topic979.htm#section...
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| AAzad
Forum Guru
Topics: 55
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Excellent
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AAzad
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| mjl1717
Forum Hero
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AAzad wrote:
Excellent
Good thought provoker!
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Smell the coffee! "Is That an Osler move??"
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| AAzad
Forum Guru
Topics: 55
Posts: 456
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what else ?
lets keep it up . what else?
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AAzad
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| hanialkhadher
Forum Elite
Topics: 16
Posts: 256
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INF alfa is used in acute Hepatitis C,
I suggest also this patient may have cryogobulinemia.
Any ideas
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"أقرأ بأسم ربك الذي خلق,خلق الأنسان من علق,أقرأ و ربك الأكرم, الذي علم بالقلم,علم الأنسان ما لم يعلم"
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| treblechar
Forum Junior
Topics: 4
Posts: 92
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HCV RNA is the first test would be positive in acute HCV.
it could be positive while other markers are negative .
Tx : interferon and lumavudine
---> isn't it ribavirin instead?
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| ing
Forum Guru
Topics: 45
Posts: 435
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interferon and ribavirin are the Tx for HCV.
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Never give up!!
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| AAzad
Forum Guru
Topics: 55
Posts: 456
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ok you are all correct , but this patient on hcv RNA viral load showed undetectable , what does that meaN/what to do now?
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AAzad
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| AAzad
Forum Guru
Topics: 55
Posts: 456
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how about all of these 99 scorers?
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AAzad
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