Mononucleosis, human immunodeficiency virus, cytomegalovirus, antinuclear antibody, and viral hepatitis panel
were also negative.
In the setting of the normal liver function test and absence of symptoms, hepatitis panel
was not indicated and not performed at baseline.
Because the initial labs were non-diagnostic, we proceeded with a sputum stain and culture, human immunodeficiency virus testing, a hepatitis panel
, and a peripheral blood smear.
* HIV Panel, Hepatitis Panel
, Sexual transmitted panel.
Laboratory tests, including red and white blood cell count, haemoglobin, cyclic citrullinated peptide antibody, rapid plasma regain, hepatitis panel
, antinuclear antibody, rheumatoid factor, lyme markers and serum uric acid revealed no abnormalities.
An acute viral hepatitis panel
analysis was performed and the patient was negative for Hepatitis A, B, and C.
Published guidelines for the work-up of abnormal liver enzyme tests do not include IgM anti-HAV testing, yet physicians may be tempted to order a multitest "hepatitis panel
" offered by some laboratories at a cheaper price than the individual tests, James Hadler, M.D., state epidemiologist in the Connecticut Department of Public Health in Hartford, told this newspaper.
Although viral hepatitis has become less common, an acute hepatitis panel
(approved by CMS) is typically done.
Initial laboratory evaluation of patients with acute hepatic injury should include a drug history and testing for antibodies to the hepatitis A, B, and C viruses (HAV, HBV, and HCV), using the Health Care Financing Administration-approved acute hepatitis panel
[IgM against HAV (IgM anti-HAV) and the HBV core antigen (IgM anti-HBc), HBV surface antigen (HBsAg), and antibodies against HCV (anti-HCV); Fig.
Effective January 1, 2000 (CPT 2000), the acute hepatitis panel
has been revised (CPT#80074) to re-include the tests for lgM anti-HAV and lgM anti-HBc.
Kim first described that virus at the 16th U.S.-Japan Joint Hepatitis Panel
Meeting held in Tokyo in January 1995.
Autoimmune tests, viral hepatitis panel
, and acetaminophen level were within normal limits.