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In this relatively satisfactory general condition of patients with no clinical stigmas severe liver injury may be contrasted with the pronounced morphological signs of a progressive inflammatory process.
Operability of patients is preserved, if the work is not associated with heavy physical load and negative emotions, frequent business trips, contact with poisons, night and overtime work. Patients with active forms of chronic hepatitis in need of extra rest, work with a shortened working day or sometimes translated into an easier job. In each case, the issue of employment appropriate to decide individually.
Chronic infection caused by hepatotropic viruses can occur in the form of five major clinical and morphological forms. They are: asymptomatic virus infection, chronic hepatitis, chronic active hepatitis, cirrhosis of viral etiology of hepatocellular carcinoma and liver, which develops in a few decades virus infection in the later stages of infection, usually at the stage of liver cirrhosis. Do infected with HIV usually do not complain, but sometimes asthenia and small pains in right hypochondrium. The basic rule diagnosis of chronic hepatitis B is the exclusion of liver disease with complaints of asthenia, dyspepsia, and abdominal pain. With any acute or chronic diseases of the abdominal cavity - chronic or acute gastritis, gastroenteritis, chronic cholecystitis, pancreatitis, chronic colitis, biliary dyskinesia and bowel, chronic gastroduodenitis and peptic ulcer disease, chronic appendicitis, hiatal hernia - should be carried out differential diagnosis with chronic liver disease. |
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