Hepatitis B and Cirrhosis

Review the case study and answer the questions posed in the study. Your introductory paragraph should provide a summary of the case and the purpose statement. 

Remember to provide a citation for each answer.

Hepatitis B and Cirrhosis

J.B., age 35, has had chronic hepatitis B for 9 years. The origin of his acute infection was never ascertained.

1. Describe the pathophysiology of acute hepatitis B infection.

2. Explain why the early stage of cirrhosis is relatively asymptomatic. 

J.B.’ s cirrhosis is now well advanced. He has developed ascites, edema in the legs and feet, and esophageal varices. His appetite is poor, he is fatigued, and he has frequent respiratory and skin infections. Jaundice is noticeable.

3. Explain why each of the following events occur: 

(1) excessive bleeding from trauma, (2) increased serum ammonia levels, and (3) hand-flapping tremors and confusion.