Differential diagnosis _ of old man's hepatitis B tests the inspection
1,Progressive chronic hepatopathy: Old hepatitis B is easy to misdiagnose. Chronic HBV can develop to infect potentially, just manifest symptom in to the old age, it has already been chronic hepatitis B, it has even already been liver cirrhosis. Patient these have the intersection of hepatopathy and symptom that take place repeatedly, might find some chronic behavior of hepatopathy while being careful to check. In the chronic hepatitis B, liver are hard turns progress into HCC, the continuity of the just original symptom, can be leaked and examined.
2,Other disease in the liver and gallblader: The elderly have incidence of higher hepatopathy, so must carry on differential diagnosis among different hepatopathy. Alcohol hepatopathy and medicine more hepatopathy under the elderly; Severe cardiovascular disease often has liver that is damaged in the old age, even heart source liver cirrhosis; There can be progressive hepatopathy while resisting trypsin lacking, specially sending blood color disease to the old age in hepatitis of one's own immunity, primary bile liver cirrhosis, 1, corresponding characteristic nature serology behaves. Organize the inspection to contribute to the mutual differentiation of the above-mentioned hepatopathy in liver living subject. Cholelithiasis occur frequently in the old man, pain can be very slight, and have jaundice and ALT that rise too. Think of these may, carry on corresponding image check, misdiagnose, be can avoided.
3,Tumour: Some tumours and bile duct diseases can be misdiagnosed as hepatitis; The intersection of pancreas and cancer, the intersection of pot and the intersection of belly and cancer, the intersection of bile duct and cancer occur frequently on 60- 70 year old, get up disease to be latent to attack, tired losing the appetite and jaundice, liver swelling rising by ALT and ALP, have a lot of similar places with symptom of the old hepatitis.
|
0 comments:
Post a Comment