TY - CHAP M1 - Book, Section TI - Infections of the Liver A1 - Telega, Grzegorz A2 - Kline, Mark W. PY - 2018 T2 - Rudolph's Pediatrics, 23e AB - Patients with infections of the liver generally present with nonspecific symptoms such as fever, fatigue, abdominal pain, or weight loss. The abdominal pain may be diffuse, be confined to the right upper quadrant, or radiate to the shoulder or back. Other symptoms may include headache, arthralgias, and adenopathy. The initial history should focus on geographic location or travel, unprotected sex or drug use, use of hemodialysis or blood products, other recent exposures, vaccination/immune status, chronicity of symptoms, anatomical anomalies or surgery that may affect the biliary tracts, and family history of hepatitis. Physical exam is often normal; some patients will have right upper quadrant or diffuse abdominal tenderness and hepatomegaly. Jaundice or stigmata of chronic liver disease is infrequent. For additional details regarding viral hepatitis, please refer to Table 232-1 and Chapter 303. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182934425 ER -