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Medicine

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Liver & GIT

Question
4 out of 10
 

HBs Ag positive person may have all of the following associated Renal lesions, Except: (PGI Nov 11)



A Membranous Glomerulonephritis (MGN)

B Membranoproliferative Glomerulonephritis (MPGN)

C Mesangiocapillary Glomerulonephritis

D Focal Segmental Glomerulosclerosis (FSGS)

Ans. D Focal Segmental Glomerulosclerosis (FSGS)

Complications Of Hepatitis:

a. Relapsing hepatitis (Biochemical + Clinical) – seen in hepatitis A

b. Cholestatic hepatitis – seen in hepatitis E

c. Serum sickness like syndrome – hepatitis B Q

d. Essential mixed cryoglobulinemia – hepatitic C Q

e. Fulminant hepatitis – mainly seen in hepatitis QB, C, E (Pregnancy).

f. Chronic hepatitis – Hepatitis B, C. Hepatitis D coinfection does not affect the chronicity of acute hepatitis B infection. Superinfection and hepatitis D increases the severity of chronic hepatitis B.

g. Hepato cellular carcinoma – hepatitis B, C (B > C)

h. Gianotti – Crosti syndrome – In children, hepatitis B presents with anicteric hepatitis, a non-pruritic popular rash Q of face, buttocks and limbs and lymphadenopathy. (Papularacrodermatitis of childhood) (H, 18th, pg-2553)

i. Ascites

j. Coagulopathy

k. Hypersplenism.

l. Arthritis

m. Purpuric cutaneous lesions (leukocytoclasticvasculitis) Q

n. Immune complex glomerulonephritis Q Membranous GN (Child), MPGN, mesangiocapillary (Adult)

o. Polyarteritisnodosa. (Hepatitis B)

p. Pancreatitis, myocarditis, atypical pneumonia, aplastic anemia, transverse myelitis, and peripheral neuropathy.

Extra Edge:Gall stone is not a complication (Focal & Segmental Glomerulo sclerosis is not a complication)

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