Featured Cases

45-year-old man with HIV infection presents for a routine visitInitiating Treatment in Patients with Hepatitis B and HIV Coinfection
Individuals coinfected with HBV and HIV are more likely to experience liver-related morbidity and mortality than those infected with HBV alone. This case discusses the goals of treatment and the unique issues surrounding initiating antiviral therapy in HBV-HIV-infected persons.

A 27-year-old woman presents to the urgent care clinic with the new onset of nausea and jaundiceSerologic and Virologic Markers of Hepatitis B Virus Infection
Understanding basic HBV serologic markers is important in understanding whether a patient is susceptible to infection, immune as a result of resolved infection, immune as a result of vaccination, acutely infected, or chronically infected.  This case provides a detailed summary of hepatitis B serologic markers using graphics and animations.

A 45-year-old male patient with chronic hepatitis C infection is receiving peginterferon and ribavirin therapyEvaluation of New Onset Ascites in a Patient with Chronic Hepatitis C
Ascites is an important complication that can occur in patients with cirrhosis. All patients with new onset ascites of uncertain cause should undergo paracentesis. This case reviews the causes of new onset ascites, the appropriate technique for performing a diagnostic paracentesis, and the recommended analysis of the ascitic fluid.

A 19-year-old man presents to the clinic for follow-up after being seen in the erAcute Hepatitis C
Most persons infected with hepatitis C virus are not diagnosed during the first 6 months of infection, but this early period offers a unique treatment opportunity as cure rates during this early period are very high.  This case reviews the clinical and laboratory features, disease course, immune response, diagnosis of acute infection, and treatment. 

A 26-year-old woman was recently told that she has chronic hepatitis BCounseling the Patient with Chronic Hepatitis B Infection
Health educators often have a number of questions posed to them by patients with chronic hepatitis B virus infection.  Using a question and answer format, the case provides a framework for counseling and educating patients about chronic hepatitis B.