Hep C Case Studies

The patient Matt is a 19-year-old Caucasian male that was admitted to the unit and being treated for lethargy, excessive thirst, recent unexpected weight loss, fever and frequent urination. Patient is uninsured, a college athlete (runs 3-5 miles a day on the cross country team), works 16 hours a week on the night shift, lives with five of males and says his diet consist of fast food, prepackaged meals and admits to having 3-4 beers, 3-4 day a week and has an allergy to penicillin (hives) and sulfa drugs. Patient was treated for a UTI once 3 months ago. The patient’s current vital signs are: temperature of 101.6F, heart rate of 99, respiratory rate of 22, blood pressure of 119/76, SaO2 99% on

He was diagnosed with liver disease a few years ago. He had a history of positive hepatitis C virus antibody. His hepatitis C virus PCR was checked on two different occasions and has been negative. He was evaluated by hepatology, Christopher Albers, MD at Tampa General Hospital for his liver disease. He had a liver biopsy done showing evidence of liver cirrhosis. Per patient's report, he was told that he is not a candidate for a liver transplant at his point. No evidence of abnormal liver function tests in the records and his coagulations were in normal range. He has chronic thrombocytopenia that has been attributed to alcohol use and liver disease. No history of hematemesis. He reports that he had endoscopy as part of the work up at Tampa General Hospital but he does not recall the results. His last colonoscopy was done this year at Tampa General Hospital. No reported malignancy, per patient's report. He also has imaging for his abdomen and pelvis but we do not have the results at this time.

This is 31 year old white male. Patient is here with several complaints as listed. Patietn was seen at UAB ED yeaterday for the same conditions and discharged without any treatment; "They don't like me there, UAB, because I have a long history of drug use and frequent use of their ER." Patient denies chest pain, SOB, N/V/ D. Patient is a current tobacco user with 20 apck year hisotyr. No substance abuse for the past 3 months. Current pain

I am especially concern about the older population when it comes to Hep C. In the article it states that the population of people mostly affected by this virus is people born between the years 1945-1965 approximately 3.2 million. This includes my mother, my aunties, all of my client that I have worked with over the years and is still working with; the “baby boomers”. Signs and symptoms of the virus do not show up until weeks, sometimes months after being infected. Fever, feeling tired, poor appetite, nausea or vomiting, pain in your stomach, joint or muscle pain, is some of the symptoms manifested with this diagnosis. How can I protect myself when it is so easy to become infected from just a speck of blood being overlooked on a piece of clothing,

Past Medical History: The patient has a history of end-stage renal disease secondary to IgA nephropathy, hypertension, alcohol abuse, biopsy proven liver cirrhosis, history of right leg cellulitis,

About 4.1 million people in Americans have the positive antibody for hepatitis C virus (HCV), and about 75% of them are persistently infected and most of the infections happened d 20 to 40 years ago, before the finding of HCV. Hepatitis C increased from 7,000 to 13,000 deaths in 2005. Furthermore, HCV develops slowly which increases the risk for severe complications in the infected people. Identification, death, and treatment is predicted to affect 35,000 by 2030. The Center for Disease Control (CDC) used antiviral therapy with PEGylated in clinical trials. The CDC recommends a HVC one time test for people born between 1945 and 1965.They observed testing by birth. The objective of this study was to thoroughly evaluate the amount of substance abuser infected with hepatitis C in the United States. Additional to observe the treatment of HVC. Currently Medicaid and Medicare repayment standards for sofosbuvir were calculated in all states including the District of Columbia. Medicaid and Medicare covered the drug based on the following classes liver disease stage, HIV, and drug use. Approximately 42 states reimbursed the following criteria up to 74% for the drug sofobuvir. About two thirds of the United States restricted the treatment centered on prescriber type. About 88% included drug abuse in their sofosbuvir admissibility measures. Finally 50% required a dated of abstinence and 64% required drug test. The latest drug to HVC is called Sovaldi and it costs $84,000 for the 12

Patient denies chest pain, SOB, N/V/D. Patient is a current tobacco user, denies use of alcohol or illicit

The patient reports he did in fact kept his appointment with Brownstone clinic to address the Hep.C and the large liver. According to the patient, the nurse staff only withdraw blood and is scheduled to return on 04/11/2016 at 2pm for an update on his blood works.

Hepatitis C is a liver disease caused by the Hepatitis C virus. The disease can be either acute or a chronic infection, which can be mild or a lifelong disease. This disease also is the major cause of cirrhosis and liver cancer. The disease is slow moving and sometimes take up to thirty years to damage the liver. In the United States there are an estimated three to four million people with the disease and are not even aware. Approximately thirty percent of the individuals infected within six months have no symptoms and will not even be aware that they have the disease. In the remaining seventy percent infected the disease will become chronic. According to statics one hundred and seventy million people are chronically infected worldwide.

The patient has a history of being hospitalized numerous times for exacerbation secondary to smoking,

This is a 36 year old wihte femle who is here complaining of cough, sinus congestion, fever, and gneralized body ache for 4 days. Patient is a resident at Lovelady and reports many ladys are sick at the center. Patient is a smoker with a history of one pack for 20 year hisory. Patient denies use of alcohol or illicit drug use.Patient denies chest pain, N/V/D, but rports SOB and

Hepatitis C is an infection of the blood caused by the Hepatitis C virus. While the Hepatitis virus is widely known for damage caused to the liver, it can also cause damage to the kidneys and other body organs as well since it is an infection in the blood. Hepatitis C is both acute and chronic meaning it can last 6 months and resolve on it 's own or it can last a lifetime. The family name Hepatitis includes Hepatitis A and Hepatitis B in name while each is a completely separate disease. Each separate disease is caused from a completely different virus and transmitted in differently.

The patient is on a gluten free diet due to Celiac disease. She is takes a daily vitamin, melatonin and a calcium supplement. She is also on birth control. The patient has a history of recurrent ear infections. The patient was last hospitalized at the age of eight after falling off her bike and passing out. She fractured her ankle as a child. There is a family history of Celiac disease and Parkinson’s disease. She participates in physical exercise by going to swim practice five times a week. The patient does not use tobacco. The patient dislocated her finger and complained of pain at a 3 out 10. There are no concerning moles. Patient’s buccal mucosa is a normal pink color and moist, no signs of lesions in mouth or on tongue. Her uvula is

This is 22 year old white male. Pateint is here to establish as a new patient, and requesting referral to eye clinic and dental clinic. Patient is a current smoker with 10 pack year history. Patient denies use of alcohol or illicit drug use. Patient dneis chest pain, SOB, N/V/ D, or fever. Patinet's current pain 0/10. Patient also reports that he was treated for head lice 2 days ago. patien is a resident at Savation

Harvoni is a new drug used for treating Hep C that was approved by FDA in October 2014. Harvoni is a combination of sofosbuvir (Sovaldi) and ledipasvir. Harvoni is used to treat Hep C genotype one. The recommended dose of Harvoni (ledipasvir 90 mg/sofosbuvir 400 mg, I tab daily for 12 weeks.The medication can be taken with or without food and patients can follow the usual missed-dose instructions (Gritsenko, Hughes). During a phase III clinical trial Harvoni cured more than 97 percent after 12 weeks of treatment. Some patients who have not taken antiviral drugs before were cured in eight weeks of treatemnt (Gritsenko, Hughes). Harvoni has less side effects are compared to other hep c drugs. The most common adverse events reported