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학습 자료 둘러보기 →The most critical assessment finding in a child with hepatitis A is a change in level of consciousness or new-onset confusion. This is the hallmark of hepatic encephalopathy, signaling a progression to acute liver failure (ALF), a life-threatening emergency with a mortality rate of 40-70% without transplant.
Expected findings like jaundice, clay-colored stools, and dark urine indicate cholestasis and inflammation but do not represent a catastrophic loss of liver function. Prodromal symptoms such as nausea and vomiting are common and do not require immediate escalation.
ALF can develop abruptly. Immediate reporting of any neurological change is crucial for timely transfer to a transplant center. Do not dismiss early subtle signs like irritability or sleep inversion in a child with acute hepatitis.
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