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  3. 28. Clinical Presentations of Patients with Hep B & C among Chronic Liver Disease at a Tertiary Care Hospital of Bahawalpur
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28. Clinical Presentations of Patients with Hep B & C among Chronic Liver Disease at a Tertiary Care Hospital of Bahawalpur

Shahbaz Ahmed Qureshi1, Javeria Shahbaz1 and Anas Ahmed2

ABSTRACT

Objective: The  study  was  carried  out  to  determine  the  different  clinical  presentations  of  patients  with  Hepatitis  C  and  B  related  chronic  liver  disease.

Study Design: Cross-sectional study.

Place and Duration of Study: This study was conducted at the Department  of  Medical  Unit  III of Bahawal Victoria Hospital, Bahawalpur  from  January  2017  to  December  2017.

Materials and Methods: Only patients with chronic hepatitis C and B, leading to Chronic liver disease (CLD) were included in this study. Patients with CLD other than Hepatitis B and C viruses and pediatric age group (less than 13 years) were excluded from the study. The diagnosis was made with the help of clinical, biochemical and sonographic findings. Presenting complaints were recorded and detailed physical examination was done to look for different clinical presentations.

Results: Total of 248 patients were studied. The most effected age group was between 50-59 years.  Male gender was more commonly effected .The major presentations were of Upper Gastrointestinal bleeding (40.32%), abdominal distension (26.61%), and altered state of consciousness (11.29%), abdominal pain (10.48%), jaundice (7.25%), pedal edema (2.41%) and anorexia (1.61%). Chronic  liver  disease  due  to  hepatitis  C  was  greater  than  hepatitis B.

Conclusion: Chronic  liver  disease  due  to  Hep  C  was  more  common  than  Hep  B.  Upper GI bleed was the most common clinical presentation.

Key Words: Hep B & C, Chronic liver disease, upper gastrointestinal bleed (Upper GI bleed).

Citation of article: Qureshi SA, Shahbaz J, Ahmed A. Clinical Presentations of Patients with Hep B & C among Chronic Liver Disease at a Tertiary Care Hospital of Bahawalpur. Med Forum 2019;30(3):114-116.