Hep B Lab Results Interpretation Case Study: Lab Interpretation for Nurse Practitioners
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- Опубликовано: 25 июл 2024
- It can feel like an alphabet soup of letters when it comes to Hep B lab results interpretation! Once you get the hang of it, you'll know if someone has an infection, what stage they're in and the next steps to take.
This case study is zooming in on a common presentation in primary care: the next steps for investigating elevated LFTs.
If you haven't seen it already, it's a follow up to this video: • Elevated Liver Enzymes...
In this video you'll learn:
- Which labs to draw
- What the results mean
- What next steps to take, and when to refer to GI
PLUS, download the cheat sheet to keep at your desk for quick reference here: www.realworldnp.com/021-opt-in
AND! If you want to get a handle on lab interpretation, join us for the Lab Interpretation Crash Course for New NPs! Go to: www.realworldnp.com/labs
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Don't forget to grab your free Ultimate Resource Guide for the New NP at www.realworldnp.com/guide
More Resources:
Lab Interpretation Crash Course: www.realworldnp.com/labs
Digital NP Binder: www.realworldnp.com/binder
Diabetes Medication Workshop: www.realworldnp.com/diabetes
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Thanks for the great, easy to understand refresher! I referenced this in practice just today!
So happy it was helpful for you!
Thanks so much Liz. This is really helpful
You're so welcome :)
Love your video...Great review for me as a new NP
Thanks for watching!
This is Amazing. Now I feel better equipped to review Hep B labs. Thank you!
Thank you for your comments!
@@RealWorldNP m
very helpful!! thank you SO much!!
Glad it helped!
Thank you, this was really helpful in understanding the labs .
You're very welcome!
@@RealWorldNP how long would someone with chronic hep b and mild alt and ast be on medication? Let's say TAF 25mg.
@@nesarnoori26 what you need to be cure completely is herbal tea
Thanks for sharing 👍👍👍
Thank you!
I would love to see the management of Hep B video
Thanks for the suggestion - we will add it to our list for future videos!
Thank you for your video. I have a question: If the patient is HBsAg (+) anti-HBV (-) HBeAg (-) does that mean the patient is recently infected to HEP B and patient is not immune to HEP B from previous vaccination?
I am really sorry, but for legal and safety reasons, I can't comment on this specific case.
I have a hep b dna pcr 841(h) viral load is 2.92
Hepatitis B E antibody is also positive and the hepatitis B E antigen is negative what does all mean I’m told I have chronic hep b but I don’t understand that number format just trying how to break down as far these numbers mean in value if you can help me out I would appreciate it thanks
Hey there - I am unable to advise on your case for licensing, legal, and safety reasons. I encourage you to consult with your primary care provider, who knows your history and your lab results.
Mam please I have question please my hbsag titer is non reactive and my anti hbe is reactive pls help me
I am really sorry, but for legal and safety reasons I can't advise on your specific case. I encourage you to refer to your primary care provider.
Does surface antibody will always show reactive if patient is vaccinated?
It should, there are some cases of people who are vaccinated but are "nonresponders," meaning they got the full 3 shot series but do not have antibodies. In that case typically the series is repeated, but if they don't respond again then they just have to be mindful of the fact that they're not protected and let future providers know that they've done the series twice already
Can you simply explain what I should do in the case of testing positive for Antigen E but Negative for Antibodies ?
Do you mean antigen B positive and Antibody B negative?
Awesome presentation. bye the way cheat sheet link is not working.
Thank you for letting us know! I think it's fixed now.
If you want to check for hepatitis B immunity from vaccine, would you order hepatitis B surface antibody? TIA
Yerp, for immunity, the Hep B surface antibody would be positive, whether it was from a vaccine or a previously cleared infection!
If it was from a previous infection, they would also have a Hep B core antibody that would be positive (for life). Typically most people screen with the Hep B surface antibody test.
Hey what does a reactive hep B
qual, mean if all the other hepatitis panel is normal.
What if I ask for second opinion and the result of hbsag is non reactive.
Rose, a non reactive hbsag means there is no active hep B infection. When interpreting results you want to have hbsag, hbsAb, and hbcAb to appropriately interpret.
Nice
Thanks!
Super handy! Do you sell your Power Points?
I don't have that set up quite yet, but stay tuned!
Re: labs though, inside the Lab Interpretation Crash Course you get LOTS of downloads/material to use if you're interested in joining for that!
Why if a patient has negative hbsag, positive hbcab, but flag Abnormal, and hbcab igm negative, what is the status of the person?
www.cdc.gov/hepatitis/hbv/interpretationOfHepBSerologicResults.htm
THis is a great easy to use resource for interpretation.
I had a 5* next to it. What does that mean?
I think it's best to talk directly to your primary care provider on your lab results.
Few years ago I was admitted to the hospital with abdominal pains and fever, And was diagnosed of Hepatitis B. I was discharged after 2 weeks,Was also on Hepsera for few months. But the mild pains still persist on the right side of my abdomen. After sometime, I learnt about a successful Hepatitis B and fatty liver treatment from Dr,Ayes. I was on the treatment for over 1 months and tested negative to the virus after I completed the treatment. Its almost unbelievable how effective the herbs was alleviating the virus. I completed the treatment few months ago and still negative! Dr,Ayes also works on related diseases like (BAD BREATH) (HSV.)(FIBROID) feel free to reach him out via(drayesherbalmedicine@gmail.com) or WhatsApp him+2349028032485.
Hi there ,..i would like get some advice from you please .
I have done some blood tests from sexual health more than 10 years ago , and they told me : I have been exposed to hepatitis B long time ago ,.but I’m immune , and I’m not contagious ,..that is very good news , but i have been suffering for 10 years from abdominal pain on and of , and also my bilirubin it’s slightly higher between 30 to 60 , my eyes are slightly yellow
I also spoke with my doctor regarding this ,..and he did the DNA hepatitis b test ,..and I got the same answer
My question is ,...is there anything the doctors are missing when they are ordering those tests,..because from what i hear from you , hepatitis B look very complicated to detect
Beyond my abdominal pain ,.my wife recently it’s having abdominal pains too ,..this is making me very worried ,..because i have 2 kids and i don’t know what is happening !
Could you please help me ,..is there any test left for me to do for hepatitis B ,...or shell i just settle with what doctor said ?
Thank you
Hey there! I am so sorry, but for safety and legal reasons I can't advise you on this. I always recommend working with your primary car provider.
@@RealWorldNP
Thank you for replying back ,..i only was asking if i need any other test like a suggestion ,..to rule out hepatitis B
The reason why i do ask this , is because i don’t want to go through liver biopsy or ERCP
Your knowledge in hepatitis B interpretation is better than some gastric doctor which have a lot of things to think about
I only need from you to show me the right direction to get to the bottom of this ,..because it’s 10 years now and they give me different diagnosis like : jaundice, Gilbert, Dyskinesia , they even removed my gallbladder because Hida scan was saying 34% function,
Thank you
@@RealWorldNP
I would like to ask you 2 questions if can please?
First question :
As we know hepatitis D ,..manifest from an infection of hepatitis B
My question is : is it possible for someone to get hepatitis D ,..if she or he have been exposed before to hepatitis B , but is immune from the hepatitis B ???
My second question is : someone who is exposed from hepatitis B and is immune,...dose it needs a vaccination for hepatitis B
Thank you
Few years ago I was admitted to the hospital with abdominal pains and fever, And was diagnosed of Hepatitis B. I was discharged after 2 weeks,Was also on Hepsera for few months. But the mild pains still persist on the right side of my abdomen. After sometime, I learnt about a successful Hepatitis B and fatty liver treatment from Dr,Ayes. I was on the treatment for over 1 months and tested negative to the virus after I completed the treatment. Its almost unbelievable how effective the herbs was alleviating the virus. I completed the treatment few months ago and still negative! Dr,Ayes also works on related diseases like (BAD BREATH) (HSV.)(FIBROID) feel free to reach him out via(drayesherbalmedicine@gmail.com) or WhatsApp him+2349028032485.