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Hepatitis C

June 11, 2026 · 19 min

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Ninja Nerds!
In this episode of the Ninja Nerd Podcast, Zach and Rob walk you through a high-yield, case-based approach to Hepatitis C, focusing on how to recognize it, diagnose it properly, and understand why it so commonly becomes a chronic disease. This is one of the most clinically relevant hepatitides because patients are often asymptomatic early, yet complications can be severe if missed.

We start with a classic presentation and break down the step-by-step diagnostic approach, including screening with Hepatitis C antibody testing and confirming infection with RNA testing. From there, we focus on distinguishing acute from chronic infection and on why most patients progress to chronic disease due to ineffective viral clearance.

Next, we shift into complications and long-term management, emphasizing fibrosis progression, cirrhosis, and hepatocellular carcinoma risk. We also cover extrahepatic manifestations that are frequently tested and often overlooked.

Finally, we walk through modern treatment strategies using direct-acting antivirals, what “cure” actually means, and key screening and prevention principles.

Let’s get into it, Ninja Nerds!

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