Anti HCV Rapid Screening - Provisionally Reactive, Next best test to do?
INVESTIGATIONS.. HCV PCR .. HCV RNA ..
Hcv antibody
HCV PCR HCV RNA
ONE HAS TO DO N A T THAT IS NULIEIC ACID TEST
HCV p c R & R N A Viral immunology
Anti HCV... EIA HCV.. RNA PCR
All HCV positive cases need to be confirmed by HCV ELISA. Further HCV RNA can be done.
EIA test
Next step is go for ELISA or CLIA
Cases that would interest you
- Login to View the image
Case Challenge of the day: A previously healthy 50 y/o male presented with a 2-week history of malaise, anorexia and worsening abdominal pain, which progressed to nausea, vomiting and scleral icterus. He initially attributed his symptoms to an influenza-like syndrome; however, he became alarmed when he developed dark urine and generalized jaundice. The patient had no known personal or family history of liver disease. No history of any medications. He denied any changes in his diet or use of alcohol, tobacco or illicit drugs, but endorsed drinking 4–5 energy drinks daily for 3 weeks prior to presentation. . He did get a tattoo in his 20s, but denied any transfusions of blood products or high-risk sexual behavior. On physical examination, the patient had normal vital signs, scleral icterus and jaundice. Abdominal examination was remarkable for right upper quadrant (RUQ) tenderness, but there was no ascites, asterixis, spider angiomata or other signs of chronic liver disease. Laboratory studies revealed normal renal function. Rest you can see in the image. What do you think is the diagnosis and management of this case? Reference: www.ncbi.nlm.nih.gov
Dr. Shekhar Verma4 Likes32 Answers - Login to View the image
#ItsTime A 37 y/o/m patient was admitted with a history of perianal discharge and ulceration for the last 4 months. According to his medical history, he was treated for a perianal abscess which was incised and drained 1 year ago, yet, despite the initial healing, it recurred 2 months later. No lymphadenopathy was found on palpation; in addition abdominal examination revealed a generalized tenderness. The perianal region examination showed large bilateral infected ulcerations followed by pus. The digital rectal one revealed no pathological findings except a slight sphincter hypotonia. Anoscopy was normal and no fistulas were noted. The rectosigmoidoscopy showed no abnormalities as well. Please help if its a case of TB?
Dr. Vaibhav Goyal0 Like20 Answers - Login to View the image
A 70 year-old woman has been admitted with shortness of breath. On further questioning she says she has been unwell for about 8 weeks. She has decreased appetite and nausea when she eats. She has lost weight but her abdomen feels swollen. She has generalized dull abdominal pain and constipation, which is unusual for her. There are no urinary symptoms. She has always been healthy with no previous hospital admissions. She is a widow and did not have any children. Her periods stopped at 52 years and she has had no post- menopausal bleeding. She has never taken hormone-replacement therapy. Examination She appears pale and breathless on talking. Chest expansion is reduced on the right side, with dullness to percussion and decreased air entry at the right base. The abdomen is gen- erally distended with shifting dullness. There is a mass arising from the pelvis. Speculum examination is normal, but on bimanual palpation there is a fixed left iliac fossa mass of about 10 cm diameter. Haemoglobin 9.2 g/dL, Mean cell volume 82 fL, White cell count 4100, Platelets 197, Sodium 135, Potassium 4, Urea 5.1, Urea Creatinine 89, Alanine transaminase 18, Aspartate transaminase 17, Alkaline phosphatase 78, Bilirubin 12, Albumin 30, CA-125 118. 1. What is the likely diagnosis? 2. How should this woman be further investigated? 3. If the diagnosis is confirmed how should she be managed?
Dr. L.r. Ahirwar4 Likes26 Answers - Login to View the image
Nothing to discuss...I have a few enemies in the circle of doctors...I also have a few friends...This is an original song written by me...Happy friendship day...
Dr. Bineesh Balakrishnan32 Likes46 Answers - Login to View the image
Know a patient who is a COVID survivor. He was in the ICU for a month, requiring mechanical ventilation for almost four weeks. That’s much longer than a typical patient with bacterial pneumonia. This patient required a lengthy infusion of the neuromuscular blockade which, along with shock, contributed to the profound weakness. This complication is also called critical illness polyneuropathy. *What can we do during these 4 weeks when the patient is paralyzed to minimize the myopathy and neuropathy that may develop? *Are there treatments or therapies? *Are you familiar with the concept of Disease tolerance and Adaptogens? I’d love to hear others’ reflections on this and if you have any tips for preparation
Dr. Sushil Mishra9 Likes19 Answers