Hepatitis B Virus Treatment Guidelines, Serology, Symptoms (Acute & Chronic), Medicine Lecture USMLE

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  • Опубліковано 18 гру 2024

КОМЕНТАРІ • 379

  • @MedNerdDrWaqasFazal
    @MedNerdDrWaqasFazal  2 роки тому +16

    Chapters (Clickable):
    (0:00) Intro
    (0:35) Hepatitis B virus Transmission
    (1:48) Symptoms of Acute Hepatitis B infection
    (3:46) Subclinical Hepatitis
    (5:06) Symptoms of Chronic Hepatitis B infection
    (6:44) Hep B Serology Interpretation Made Easy
    (15:53) Other Investigations
    (16:36) Treatment of Acute Hepatitis B Virus
    (18:02) HBeAg Positive Treatment Algorithm
    (20:43) HBeAg Negative Treatment Algorithm
    (22:47) Chronic Hepatitis B Treatment
    (23:16) Contraindications & Adverse effects of Interferons
    (23:45) Nucleoside/Nucleotide Analogs
    (24:42) Co-infection with HIV
    (25:20) Summary

  • @Sports12379
    @Sports12379 11 місяців тому +6

    Dr waqas ! Dear sir you r oneman army in Pakistan medicopedia, u always rescued us in difficult exams situation ,i don't need any book once i hear your lecture. Because you cover every topic very clearly in a short way ❤❤❤

  • @hamadkhan416
    @hamadkhan416 2 роки тому +26

    salute to you sir.. your teaching shows the passion and our teachers should learn from you how to teach and make it interesting...jazak ALLAH doc

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 роки тому +1

      That's very kind of you Hamad Khan. 😊

    • @drmarvijatoi1458
      @drmarvijatoi1458 2 роки тому +2

      Dr Waqas please do on Hyponatremia as well

    • @ibrahimbangalie9721
      @ibrahimbangalie9721 2 роки тому

      Dr. MedNerd, my friend has just been diagnosed of an acute hepatitis B virus. Will he be cured of it?

    • @mariamabkamara2625
      @mariamabkamara2625 2 роки тому

      Doctor what if someone got the infection already will the vaccine helps too or does a prescribed tablets

  • @qambarabbas7293
    @qambarabbas7293 Рік тому +4

    I always get to know what i am searching for . One of the best teacher. Lots of love.

  • @joverttadia9892
    @joverttadia9892 2 роки тому +2

    Sana Po matugonan ating governor.ganto virus ...bigyan nila pansin .matulungan Yun mga tao HEPA b

  • @sarwatjahan5821
    @sarwatjahan5821 Рік тому +1

    I am 3rd yr of bds student I really like ur teaching way u explain it in an easiest way after watching ur lecture videos my concept becomes clear u r best teacher also Allah reward u for doing this Thank's a lot sir

  • @laurelugoji6382
    @laurelugoji6382 Рік тому +2

    Definitely the best! I literally used this to prepare for my seminar on Hep. B Virus infection

  • @daryakhan8574
    @daryakhan8574 2 роки тому +10

    Love the way how enthusiastically u r giving the lecture. Good energy and great content sir ❤️

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 роки тому +1

      You're very kind Darya Khan. Thank you for your kind words. 😊

  • @r_i_a9684
    @r_i_a9684 Рік тому +11

    I have no words to explaim how much this video helped me to clear my doubts.. to the point and detailed video..really a good work sir keep it up🙌🏻

    • @drkpk384
      @drkpk384 8 місяців тому

      thx dear ..plz do short cases long cases for fcps exam ,i m sharing it whatsapp group ,will gain lot of followers

  • @mzareef4359
    @mzareef4359 2 роки тому +2

    Excellent video regarding common disease

  • @Kanoemirate
    @Kanoemirate Рік тому +2

    @18:02 I think those that doesn’t require treatment are those having a hVB DNA

  • @tigerroar3545
    @tigerroar3545 2 роки тому +3

    Thank you very much for your effort.I have a qsn,when to stop antiviral for chronic HBV ?or duration of treatment?

  • @malikshayanalikhan5086
    @malikshayanalikhan5086 22 дні тому

    Aoa…im final year mbbs student bkmc…your lectures have helped me alot thorught out my mbbs journey…ive seen you with my college senior dr owais haseeb…looking forward to work under your supervision inshallah ❤

  • @rabindranathdad9048
    @rabindranathdad9048 2 роки тому +5

    Dear Dr.Fazal,Excellent presentation.Plz.add ARDS,GBS,Multiple sclerosis,Mitral stenosis,DCM etc also one by one of course!

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 роки тому

      Thank you Rabindra Nath Dad, I will surely make videos on these topics. 😊

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  Рік тому +1

      Video on multiple sclerosis has been uploaded 😊

  • @blackcoal6821
    @blackcoal6821 2 роки тому +4

    The best breakdown of HEp B I’ve ever learned. Thanks

  • @deeptimalhotra7743
    @deeptimalhotra7743 2 роки тому +3

    Thank you immensely Sir,🙏your lectures are unmatched and you are God sent🙏

  • @chrissax2028
    @chrissax2028 2 роки тому +3

    Thanks soo much for your detailed explanation. My mind and heart is at rest now💖

  • @vaisakhrk8760
    @vaisakhrk8760 25 днів тому

    Thank you doctor.
    A life saving documentary 👌🏻

  • @jibraeelkhandurrani1237
    @jibraeelkhandurrani1237 2 роки тому +6

    Amazing lecture!
    Please make a short lecture focusing on management regarding diff dose regimens of these drugs.

  • @communitymedicinemadeeasyb6531
    @communitymedicinemadeeasyb6531 2 роки тому +2

    Wonderful lecture delivered very clearly sir

  • @ashiqmalik4918
    @ashiqmalik4918 2 місяці тому +1

    Quite informative and helpful presetation Sir Enjoyed so much and learned so much plz make a vedio on hdv coinfection or superinfection plz plz....

  • @debigdogk9563
    @debigdogk9563 2 роки тому +1

    Simply the best, thank you thank you and thank you for teaching. Brilliantly well done doc. God bless you ❤❤❤❤❤

  • @patriciamammarelli3911
    @patriciamammarelli3911 2 роки тому

    Thank you for a wonderful presentation and update us on the latest research regarding treatment and cure for this disease.

  • @pranshulraut1999
    @pranshulraut1999 3 місяці тому

    Thank you very much for sharing such incredible information 🙏❤️
    I am carefully watching your videos and making notes of them.
    Keep sharing ❤

  • @drNd_Esther
    @drNd_Esther 8 місяців тому

    Great job
    Awesome Teacher….. he always delivers
    🙌

  • @hinafatimah324
    @hinafatimah324 2 роки тому +1

    Thankyou so so much for making the guidelines much easier!

  • @UdayKumar-xw9tn
    @UdayKumar-xw9tn 10 місяців тому

    Sir ji pranam🙏❤️ kaha hai Charan apke 🙏itna acha toh marrow prep ladder nhi padhaya jitna acha easy karke apne padhaya , dhanyawad sir ji❤🙏

  • @imambd288
    @imambd288 8 місяців тому

    Mashallah
    Awesome 💚

  • @jajneswarmukherjee2782
    @jajneswarmukherjee2782 Рік тому +1

    Fantastic presentation

  • @fegursonokwori8193
    @fegursonokwori8193 Рік тому

    Thank you so much sir. Your lectures are great, simple and concise.

  • @mohammadkaleem2614
    @mohammadkaleem2614 2 роки тому +1

    Bundles of thanks Dr Sb

    • @marah7170
      @marah7170 Рік тому

      where can I get it please

  • @evandarica1715
    @evandarica1715 9 місяців тому

    You are the best teacher ♥️💯💯

  • @retniretep9477
    @retniretep9477 2 роки тому +1

    great info, however, was the "e for infectious" line (around 10:00m) a joke?

  • @mediziner4283
    @mediziner4283 5 місяців тому +1

    Sir you are my hero teacher

  • @nooralikhan3648
    @nooralikhan3648 2 роки тому +2

    Such a clear concept love u sir ♥♥♥

  • @nargizsafarova6595
    @nargizsafarova6595 Рік тому

    Thank you doctor so much for your explanations regarding this subject and anothers also❤❤❤

  • @rahulpalanisamy
    @rahulpalanisamy Рік тому

    first time I understanding this very well thanks sir

  • @Noor-nq1vj
    @Noor-nq1vj 2 роки тому +2

    Wonderfull explanation

  • @muludaniel9043
    @muludaniel9043 8 місяців тому

    Awesome. Thank you sir.

  • @elliotkofi3773
    @elliotkofi3773 Рік тому +1

    Excellent delivery ❤

  • @yehtetaung9072
    @yehtetaung9072 Рік тому

    thank you sir
    Your lecture is clear and amazing

  • @santhu2018
    @santhu2018 2 роки тому +2

    Great video doc 👍👍

  • @christinevandenberg8
    @christinevandenberg8 Рік тому

    Very good. I'm new to your channel. Informative . Ty

  • @drirfanyounis9043
    @drirfanyounis9043 2 роки тому +1

    Sir cases are coming with HBe Ag positive, ALT mildly above normal limit like 50, or more than double and HBV DNA not detected. Then what to do. Also mention treatment duration.

  • @ruthreuben907
    @ruthreuben907 25 днів тому

    I have hepatitis b too
    And I want to come back next year to testify
    There’s nothing God cannot do

  • @salimtochukwu2322
    @salimtochukwu2322 Рік тому +1

    Can Sylimarin or any hepatoprotectors suppress the immune systems response in clearing the virus??

  • @alalot91
    @alalot91 2 роки тому +1

    Thanks so much for nice videos,
    Kindly doctor, what's the criteria to start treatment of HBV in during pregnancy?

  • @akshayjouhary3897
    @akshayjouhary3897 2 роки тому +1

    Good job sir

  • @semepara629
    @semepara629 2 роки тому +2

    Sir could u please include ..source of this... espicall ly treatment..so that we can also refer!!..humble request 😊

  • @subhashgrover3087
    @subhashgrover3087 2 місяці тому

    Best Lecture

  • @jyotishraj1302
    @jyotishraj1302 3 місяці тому

    Very nice explanation sir ❤

  • @saurabhprakash7597
    @saurabhprakash7597 Рік тому

    Amazing lecture

  • @seenu_kchsreddy742
    @seenu_kchsreddy742 2 роки тому +1

    First of all a great 🙏🙏🙏 to u sir
    God bless u to keep uploading this worthy videos... Which we r deprived off from many unclear lectures of medical stream... Thank a lot sir 😍😘🙏🙏🙏👍

  • @yogesharya6564
    @yogesharya6564 Рік тому

    Thnku so much great knowledge its helps alot

  • @aqalzada2811
    @aqalzada2811 Рік тому

    Sir you doing Great job

  • @akshaywaghmare9857
    @akshaywaghmare9857 2 роки тому +1

    Awesome sir 👍

  • @patiencefineseeddayol2164
    @patiencefineseeddayol2164 Рік тому

    Thank you for this amazing video

  • @ruhheena
    @ruhheena 2 роки тому +4

    Sir my father has hepatitisb in report DNA hbv 2,00,000 IU/ml and 8,00,000Copies/ml. Is there any danger? He is taking anti viral medicine entecavir since 6months.please reply sir🙏🙏

    • @mannagarwal5390
      @mannagarwal5390 Рік тому +1

      High viral load.. need genotyping. It's a resistant variate of HBV. Consult a senior infectious disease doctor.

    • @amanpawar14258
      @amanpawar14258 5 місяців тому +1

      ​my viral load is 7.87×10^7 IU/ml ...and HbeAg-Hepatitis B envelope Antigen Reactive, 109.54 ..and Anti -HBc IgM Reactive, 46.5 in Nagpur the doctor prescribe entecevir 0.5 mg for 30 days ..but the govt..hospital is providing me tenofovir or some other antivirals ..and they are giving me free of cost i'm diagnosed 25 days ago. ..can I replace entecevir with other antiviral for 1 year ??? Please help me ..

  • @dr.satishsharma1362
    @dr.satishsharma1362 2 роки тому +1

    Excellent... thanks.

  • @purakandahardairyproductsa7839
    @purakandahardairyproductsa7839 2 роки тому +1

    Thank you for your presentation...But you told that HBe Ag is secreted by hepatocytes... I think HBe ag is escaped from the virus during replication into the blood serum.

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 роки тому +2

      Yes you are very right. It is produced when virus replicates and is then secreted from hepatocytes. It definitely originates from virus within the hepatocytes. 😊

  • @draisha4473
    @draisha4473 2 роки тому +3

    Sir will healthy carrier transmit virus to others?

  • @shivirsharma8439
    @shivirsharma8439 2 роки тому +2

    Is entecavir tenofovir both given together for active hepatitis infection or one is okay?

    • @davidash2158
      @davidash2158 2 роки тому +1

      Only one

    • @amanpawar14258
      @amanpawar14258 5 місяців тому

      ​@@davidash2158please replay I have taken entecevir 0.5mg for one month and can I start tenofovir in replacement of entecevir b'coz it is now provided by govt...?? Please reply

  • @dr.piyushvermam.d.medicine8394

    Beautifully explained

  • @Sickdude420
    @Sickdude420 Рік тому

    Fantastic video !!!

  • @Tantalizing_tastes
    @Tantalizing_tastes 9 місяців тому

    Dr thanks for the nice video
    I got a result today that Iam Hepatitis B positive
    Pls should I do

  • @oluwaseunfunmiolalekan4458
    @oluwaseunfunmiolalekan4458 2 роки тому +1

    Hi doctor,
    Thanks for this lecture.
    My uncle is down with hepatitis.
    Pls can you prescribe drugs and dosage to get for him
    Pls I don't wanna lose him.

    • @afolabijamiuadebare9609
      @afolabijamiuadebare9609 2 роки тому

      Please answer this question sir

    • @Mylife-oq7ts
      @Mylife-oq7ts Рік тому +1

      @@afolabijamiuadebare9609 tenofovir 1 dose daily please for 6 months highest

    • @katehenshall9182
      @katehenshall9182 Рік тому

      Where can someone get it

    • @lolo-vo5mh
      @lolo-vo5mh Рік тому

      ​@@Mylife-oq7tsHi Doctor thanks for your excellent presentation. Kindly help to interpret the following lab test results. HBeAg =Negative; HBeAB=Positive; HBcoreAB =Negative

    • @malebaruzani3650
      @malebaruzani3650 Місяць тому

      Hi Doctor kindly help which drug if effective for hep b truvaduor or tenofovir

  • @pandeykuldip
    @pandeykuldip 15 днів тому

    Fantastic !

  • @siamromuana360
    @siamromuana360 Рік тому +1

    Oh amazing sir did hepatitisB can recover from the virus ?
    Did they can donate blood?
    Can we have a baby ?

    • @patiencefineseeddayol2164
      @patiencefineseeddayol2164 Рік тому

      Very healthy babies yes, hepatitis B vaccine can be given to neonate , Donate blood don't think so

  • @manusharma9093
    @manusharma9093 2 роки тому +1

    Great sir.

  • @HopePretty-tz1pw
    @HopePretty-tz1pw 2 місяці тому

    I have just joined you but Dr. I would like to know whether when l start taking medicine l will healed

  • @OnahPrecious-fk8yt
    @OnahPrecious-fk8yt 11 днів тому

    How can i cure my HBV please..... 8:40

  • @thiruvaipatisumathi9370
    @thiruvaipatisumathi9370 2 роки тому +1

    Hi sir, please give us the videos about the treatment of typhoid and Denge

  • @UNVEIL321
    @UNVEIL321 Місяць тому

    Sir,, you said in early phase of hbv only hbsag is positive and in window phase you told only igm is present..so my question is in window phase igm is positive even when hbsag is negative then how come in early phase only hbsag is positive and igm is negative???? And one more question, how to know that virus is mutant one....is hbeag is enough?

  • @aleya__5599
    @aleya__5599 Рік тому

    Assalamo alaikum..
    Is elisa test is enough to know about hepatitis B..???

  • @Snigdhwala
    @Snigdhwala 2 місяці тому

    How many days to give tenofovir??

  • @MAUS79
    @MAUS79 Рік тому

    What is the best yime to take the tenofevir b and empty tummy or not

  • @nasarkhan6231
    @nasarkhan6231 Рік тому

    nice video sir g but one thing tell me sir patient of hbv take medicine whole life like a sugar and blood presure take medicine whole life is it true?

  • @SylviaPohsngap
    @SylviaPohsngap 4 місяці тому

    Sir symptoms of HBV Negative bleeding can accur just after passing stool?

  • @AamirRashid01
    @AamirRashid01 2 роки тому +1

    Sir i have a question if someone is in window phase or serologic gap will he be completely recovered from haptatis b or he will develop chronic infection what is after this period

  • @maggyfrog
    @maggyfrog Рік тому

    brilliant explanation. i know someone who was treated with a blood transfusion when the infection was detected in infancy in the late 80's. jaundice was one of the symptoms. she recovered and is now an adult. was she one of the lucky few who didn't progress with the chronic form?

  • @englishwithsbr3358
    @englishwithsbr3358 2 роки тому

    Sir, if the HBV is undetected! Then what should i do? I am a patient of HBS+

  • @srisatyasaibaba6377
    @srisatyasaibaba6377 2 роки тому +1

    Thank you so much sir

  • @binoddas3951
    @binoddas3951 2 роки тому +1

    Excellent presentation

  • @biladenlaishram4644
    @biladenlaishram4644 2 роки тому +1

    Thank you sir 🥰

  • @usamaibraheem889
    @usamaibraheem889 Рік тому

    Sir Please tell us about duration of treatment?

  • @MajorMalik-oi1kq
    @MajorMalik-oi1kq Рік тому

    Good sir

  • @vicguani2108
    @vicguani2108 Рік тому

    How about probiotics for chronic hepatitis b, Lactobacillus and befidobacteria shows good results

  • @chayacarney5873
    @chayacarney5873 Рік тому

    Do only open cuts to another open cut the only way to get hepatitis b ?

  • @deetantrums2548
    @deetantrums2548 5 місяців тому +1

    Hi Dr., I would like to ask, is it possible that the hepa B virus will be transmitted through accidental touching of a little bit of blood from a reactive patient's blood (no broken skin or wounds)?

  • @adamuabubakar6497
    @adamuabubakar6497 2 роки тому

    My viral load is 12 less than a thousand.
    What do you advise?

  • @vinothkannan66
    @vinothkannan66 Рік тому

    I have HBsAg, HBeAg positive HBcAg negative, viral load >1 crore.
    But no symptoms, ALT is 55 in LFT. Doctor says it is chronic and start taking medicine. But in 2019 it was negative and I doubt it might be acute. Should I want to wait for 3 months or should taking medicines.. Pls revert.. Looking for a hope..

  • @nizamuddinmohammed6615
    @nizamuddinmohammed6615 Рік тому +1

    Sir Assalamu Alaikum,
    I am a chronic hepatitis b patient with detected HBV DNA in copies 8.3 x 1000000, Fibrosis stiffness (kPa) 6.8 and ultrasound report shows in Liver: mildly coarse parenchyma. On visit Liver expert in our country, respective Doctored prescribed medicine: Tab Alenvir 25 mg. May I therefore seek your kind advice if this treatment is suitable for me without any side effects or not. Awaiting kind response please.

  • @benuplimbu1524
    @benuplimbu1524 Рік тому

    I tested non reactive hbsag test after 1month and 4month and lft was normal but i have same symptoms .what should i do?

  • @xXx-cm3co
    @xXx-cm3co 2 роки тому

    Is there a chance that chronic case can be negative after few years naturally?

  • @ragavenragav2576
    @ragavenragav2576 5 місяців тому +1

    My wife two doses vaccine complete hbv (hepatitis b) now she is pregnant during this period last dose vaccine possible? Hbv report negative? Last dose hbv vaccine possible? Pls reply sir

    • @UNVEIL321
      @UNVEIL321 Місяць тому

      Test for anti hbs if greater than 10 she is immune

  • @ramsingh-xb2mi
    @ramsingh-xb2mi Рік тому +1

    Thank u sir.

  • @selvipooja
    @selvipooja Рік тому

    Hepatiti B .tertment avalabile sir.yenga sister 10year agudhu yenna tertment yeduguradhu theryala sir ..medican posipla pls help me

  • @maneeswarik7554
    @maneeswarik7554 2 роки тому +1

    When expet of medicine for hepatitis b, Pls as soon as possible to lonch medicine please sir,because my husband was infected,,

    • @davidash2158
      @davidash2158 2 роки тому

      Go to hepatitis specialist now

    • @crownketra3457
      @crownketra3457 Рік тому

      Hello dear for u are u OK? Am also worried

  • @faisalpoundstv7593
    @faisalpoundstv7593 Рік тому

    Where can I get your products,,am in Ghana please.

  • @emmanuely.mulbah5541
    @emmanuely.mulbah5541 Рік тому

    Greetings Sir, I have such problem now, what can I do quickly.