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Subject: DIARRHEAL DISEASES                                              

Unit: VAR. BUMED  

Parent Organization: BUMED       

Box ID: BX303811

Folder Title: VARIOUS NAVAL MESSAGES FOLDER 1                                                                 

Document Number:         16

Folder SEQ  #:          2









               A.  Symptoms
                   1.  malaise
                   2.  Anorexia, including loss of taste for tobacco
                       smoking.
                   3.  Nausea and/or vomiting
                   4.  Right upper quadrant pain/discomfort
                   5.  Pruritus
                   6.  Arthritis/Arthralgia
                   7.  Headaches
                   8.  Fever (low grade)
                   9.  Jaundice
                   10. Dark Urine
                   11. Light (acholic) stools

               B.  Signs
                   1.  Icterus/jaundice
                   2.  Tender hepatomegaly (mild-moderate)
                   3.  Splenomegaly (uncommon)
                   4.  Palmar erythema
                   5.  Spider angiomata
                   (NOTE: Fever is usually absent - if present it is low
                              grade.)

               C. Laborator-y
                   1.  Hematologic:
                       a.   Hqb/Hct - usually normal; hemolysis occurs
                            uncommonly
                       b.   WBC i) normal or mild leukopenia
                                ii) mild lymphocytosis with or without
                                    atypical lymphocytes may occur.
                       C.   Platelets - normal

                   2.  Chemistries
                       a. Transaminases i) rise 5-100x above normal.
                                         ii) ALT (SGPT) > AST (SGOT)
                       b.   Bilirubin = rises 1-20x normal
                       c.   Alkaline phosphatase = rises mildly, 1-4x normal
                       d.   Albumin/globulin: remains normal or near normal
                              in uncomplicated acute hepatitis.

                   3.  Urinalysis
                       a. positive for bile
                       b. occasional microhematuria
                       c. occasional mild proteinuria

                   4.  microbiologic: not applicable

                   5.  Serolocry
                    a. Anti-Hepatitis A IgM suggests acute Hepatitis A
                       b. Anti-Hepatitis A IgG indicates prior infection
                              with Hepatitis A.
                       C.   Hepatitis B surface antigen (IfBsAg) indicates
                              active infection with Hepatitis B.
                       d. Hepatitis B "e" antigen indicates early stage of


  598

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Document 28 f:/Week-37/BX303811/VARIOUS NAVAL MESSAGES FOLDER 1/diarrheal diseases:1018961450003
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-37
Box ID = BX303811
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = VARIOUS NAVAL MESSAGES FOLDER 1
Folder Seq # = 2
Subject = DIARRHEAL DISEASES
Document Seq # = 16
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 18-OCT-1996