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Causes and Evaluation of Mildly Elevated Liver Transaminase Levels - American Family ...

Nov 1, 2011 - Mild elevations in levels of the liver enzymes alanine transaminase and aspartate transaminase are commonly discovered in asymptomatic patients in primary care. Evidence to guide the diagnostic workup is limited. If the history and physical examination do not suggest a cause, a stepwise...

American Family Physician : Article

https://www.aafp.org/afp/2011/1101/p1003.html

CDC Issues Recommendations for Identifying HCV Infection in Persons Born in 1945 ...

Jul 1, 2013 - Identifying HCV infection through testing is important to improve health outcomes in persons born in 1945 through 1965, because of increased risk of liver cirrhosis, hepatocellular carcinoma, and extrahepatic complications. The HCV Birth Cohort Testing Work Group, including experts from...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0701/p62.html

Cirrhosis and Chronic Liver Failure: Part I. Diagnosis and Evaluation - American Family...

Sep 1, 2006 - Cirrhosis and chronic liver failure are leading causes of morbidity and mortality in the United States, with the majority of preventable cases attributed to excessive alcohol consumption, viral hepatitis, or nonalcoholic fatty liver disease. Cirrhosis often is an indolent disease; most ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p756.html

Evaluation of Elevated Serum Transaminase Levels - FPIN's Clinical Inquiries - American...

Oct 15, 2012 - The evaluation of patients with elevated transaminase levels should be individualized based on the presence of symptoms or physical examination findings that suggest serious disease or hepatic decompensation.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/1015/od4.html

Evaluation of Jaundice in Adults - American Family Physician

Feb 1, 2017 - Jaundice in adults can be an indicator of significant underlying disease. It is caused by elevated serum bilirubin levels in the unconjugated or conjugated form. The evaluation of jaundice relies on the history and physical examination. The initial laboratory evaluation should include ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0201/p164.html

Hepatitis C: Part I. Routine Serologic Testing and Diagnosis - American Family Physician

Jan 1, 1999 - Hepatitis C, which is caused by the hepatitis C virus (HCV), is a major public health problem in the United States. HCV is most efficiently transmitted through large or repeated percutaneous exposures to blood. Most patients with acute HCV infection develop persistent infection, and 70 ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p79.html

Jaundice in the Adult Patient - American Family Physician

Jan 15, 2004 - Jaundice in an adult patient can be caused by a wide variety of benign or life-threatening disorders. Organizing the differential diagnosis by prehepatic, intrahepatic, and posthepatic causes may help make the work-up more manageable. Prehepatic causes of jaundice include hemolysis and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0115/p299.html

Liver Biopsy and Screening for Cancer in Hepatitis C - Editorials - American Family ...

Nov 1, 2003 - Advertisement << Previous article Next article >> Nov 1, 2003 Issue Editorials Liver Biopsy and Screening for Cancer in Hepatitis C KELLY A. GEBO, M.D., M.P.H., and ERIC B. BASS, M.D., M.P.H., Johns Hopkins University School of Medicine, Baltimore, Maryland Am Fam Physician. 2003 Nov...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1101/p1719.html

Mildly Elevated Liver Transaminase Levels in the Asymptomatic Patient - American Family...

Mar 15, 2005 - Mild elevations in liver chemistry tests such as alanine transaminase and aspartate transaminase can reveal serious underlying conditions or have transient and benign etiologies. Potential causes of liver transaminase elevations include viral hepatitis, alcohol use, medication use, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1105.html

Mildly Elevated Liver Transaminase Levels: Causes and Evaluation - American Family ...

Dec 1, 2017 - Mild, asymptomatic elevations (less than five times the upper limit of normal) of alanine transaminase and aspartate transaminase levels are common in primary care. It is estimated that approximately 10% of the U.S. population has elevated transaminase levels. An approach based on the ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1201/p709.html

Nonalcoholic Fatty Liver Disease: Identifying Patients at Risk of Inflammation or ...

Jun 15, 2017 - NAFLD is defined as hepatic steatosis on imaging or histology in the absence of other etiologies for secondary fat accumulation. It is usually identified during the evaluation of elevated transaminase levels in a patient without heavy alcohol intake, or found incidentally on imaging ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0615/p796.html

Probability of Cirrhosis in Patients with Hepatitis C - Point-of-Care Guides - American...

Nov 1, 2003 - Hepatitis C is a growing health concern. An estimated 3.9 million persons in the United States are infected with hepatitis C virus; 2.7 million of these persons have chronic infection. Cirrhosis develops in approximately 7 percent of patients with chronic hepatitis C virus infection.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2003/1101/p1831.html

Screening for Hepatitis B Virus in Pregnant Women - Putting Prevention into Practice - ... Restricted content. Login required.

Jan 15, 2020 - A 33-year-old U.S.-born pregnant clinician comes to your office for a first prenatal visit. Her most recent menstrual period was six weeks ago, and she has been taking prenatal vitamins for the past eight weeks. She was pregnant once more than two years ago, and at the time she screened...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0115/p115.html

Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults - ...

Aug 15, 2015 - P.N. is a 35-year-old man whose parents were born in southeast Asia. Although he was born in the United States, P.N. does not have any vaccination records from his childhood. During an office visit, he mentions that a relative was recently diagnosed with hepatitis B virus (HBV) ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0815/p301.html

Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults: ...

Apr 15, 2015 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in persons at high risk for infection.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0415/od2.html

Screening for Hepatitis B Virus Infection in Pregnancy: Reaffirmation Recommendation ...

Feb 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2010/0215/p502.html

Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement -...

Jan 15, 2020 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/0115/p112.html

Screening for Hepatitis C in Adults - Putting Prevention into Practice - American ...

Mar 1, 2005 - Case study: DV, a 35-year-old woman, is concerned about hepatitis C virus (HCV) infection after reading about celebrities who have the infection. She has been in a monogamous relationship for 10 years, has never used illicit drugs, and has never received a blood transfusion. She has no ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2005/0301/p955.html

Screening for Hepatitis C in Adults: Recommendation Statement - U.S. Preventive ...

Sep 15, 2004 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for hepatitis C virus (HCV) infection based on the USPSTF’s examination of evidence specific to asymptomatic persons for HCV testing and treatment.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2004/0915/p1113.html

Screening for Hepatitis C Virus Infection in Adolescents and Adults - Putting ... Restricted content. Login required.

Sep 15, 2020 - M.S. is a 20-year-old man who presents for a preemployment physical examination. He states that he is single, has two or three drinks per month on social occasions, does not smoke, is sexually active, and does not use illicit drugs.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0915/p367.html

Screening for Hepatitis C Virus Infection in Adolescents and Adults: Recommendation ...

Sep 15, 2020 - The USPSTF recommends screening for hepatitis C virus infection in adults aged 18 to 79 years.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/0915/p363.html

Screening for Hepatitis C Virus Infection in Adults - Putting Prevention into Practice ...

Sep 15, 2014 - T.S. is a 59-year-old white man born in 1955. He presents as a new patient to request a refill of his cholesterol medication. He has an unremarkable medical history. When you inquire about his social history, he reports that he has been married for 30 years, drinks a moderate amount of ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0915/p405.html

Screening for Hepatitis C Virus Infection in Adults: Recommendation Statement - U.S. ...

Sep 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for hepatitis C virus (HCV) infection in persons at high risk of infection. The USPSTF also recommends offering one-time screening for HCV infection to adults born between 1945 and 1965.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/0915/od1.html

Screening for Hepatocellular Carcinoma in Patients with Hepatitis C Virus Infection - ...

Mar 15, 2013 - There is no evidence that it is beneficial to screen for hepatocellular carcinoma in symptomatic patients with HCV.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0315/od2.html

Should Family Physicians Routinely Screen Patients for Hepatitis C? No: One-time ...

Jan 1, 2016 - Given current scientific uncertainties, limited resources, and evolving guidelines, a reasonable middle ground would be to focus HCV testing and therapy on patients who are most likely to have long-term complications from the infection.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2016/0101/p17.html

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