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File: 123096_sep96_decls23_0018.txt
Subject: DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANCE
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Document Number: 1
Folder Seq #: 88
3. Urinalysis:
D. Hepatitis D: less well defined; probably similar to a. positive for bile.
hepatitis B. b. occasional microhematuria.
C. occasional mild proteinuria.
E. Hepatitis E: 40 days (range 15-60). 4. Microbiologic: not applicable.
5. Serology:
III. Diagnosis: the clinical manifestations of acute hepatitis a. Anti-Hepatitis A IgM suggests acute hepatitis
caused by the various viral agents overlap. Specific diag- A.
nosis must usually be based on serology. For any type of b. Anti-Hepatitis A IgG indicates prior infec-
viral hepatitis, the spectrum of disease may range from tion with hepatitis A.
inapparent to fulminant. C. Hepatitis B surface antigen (HBsAg) indicates
active infection with hepatitis B.
A. Symptoms: d. Hepatitis B "a" antigen indicates early stage
1. Malaise of hepatitis B with active viral replication
2. Anorexia, including loss of taste for tobacco and greater infectiousness.
a. Anti-Hepatitis B surface antibody appears
3. Nausea and/or vomiting during convalescence; it indicates prior
4. Right upper quadrant pain/discomfort infection, and is not useful for directly
5. Pruritus diagnosing active hepatitis.
6. Arthritis/Arthralgia f. IgM anti-Hepatitis B core antibody indicates
7. Headaches acute infection with Hepatitis B.
S. Fever (low grade) 9- Anti-Hepatitis C antibody indicates prior
9. Jaundice infection with Hepatitis C. It is not useful
10. Dark Urine for directly diagnosing active hepatitis.
11. Light (acholic) stools 6. Coagulation:
a. generally normal in uncomplicated acute viral
B. Signs: hepatitis.
1. Icterus/jaundice b. Prothrombin time (PT) rises in fulminant
2. Tender hepatomegaly (mild-moderate) hepatitis.
3. Splenomegaly (uncommon)
D, X-ray: non specific.
5. Spider angiamata
(NOTE: fever is usually absent: if present it is E. Invasive Procedures: not indicated.
low grade.)
F@ Diagnostic confirmation: serologic.
C. Laboratory:
1. Hematologici IV. Duration;
a. Hgb/Hct: usually normal; hemolysis occurs
uncommonly. A. Icteric phase: I to 3 weeks.
b. WBC:
i) normal or mild leukopenia. B. Convalescent phase! may require up to several months.
ii) mild lymphocytosis with or without
atypical lymphocytes may occur. V. Complications:
C. Platelets: normal.
2. Chemistries: A. Fulminant Hepatitis:
a. Transaminases: 1. Presentation: hepatic encephalopathy, asterixis,
i) rise 5-100x above normal. coma, coagulopathy, death.
ii) ALT (SGPT) > AST (SGOT) 2. Treatment:
b. Bilirubin: rises 1-20x normal. a. Supportive to include bed rest, protein
C. Alkaline phosphatase: rises mildly, 1-4x restriction.
normal. b. Lactulose in sorbitol orally, if tolerated,
ns normal or near by enema otherwise; or oral neomycin.
normal in uncomplicated acute hepatitis.
27
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Document 52 f:/Week-36/BX003203/DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS/diagnosis and treatment of diseases of importanc:12179609281524
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Folder Seq # = 88
Subject = DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANC
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996