Hepatitis B is caused by a virus that is most often acquired during childbirth.Fulminant hepatitis and death may occur. Chronic infection can occur at much higher rates in kids - in fact 90% of infants exposed will develop hep b if no post exposure prophylaxis is given. Chronic hep B can lead to cirrhosis and/or hepatocellular carcinoma. A major take home point about today's episode is understanding serologic testing!

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