Acute hepatitis B is the period of illness that occurs during the first one to four months after acquiring the virus. Only 30% to 50% of adults develop significant symptoms during acute infection. Early symptoms may be non-specific, including fever, a flu-like illness, and joint pains. Symptoms of acute hepatitis may include: 1  fatigue, 2  loss of appetite, 3  nausea, 4  jaundice (yellowing of the skin and eyes), and.  pain in the upper right abdomen (due to the inflamed liver).
A bulging annulus means the edge of the disc adjacent to the spine (usually) has bulged posteriorly and may dent or impinge upon the spinal sac, the nerve roots, or the spinal cord. An annular fissure is a crack or tear or the disc annulus (the outer coating of the disc, as opposed to the center part (nucleus)
Annular Tear in a Spinal Disc. An annular tear describes a hole in the outer intervertebral tissue wall, possibly facilitating the expulsion of nucleus pulposus material from the disc into the greater surrounding spinal anatomy. Annular tears are relatively common in the intervertebral discs and are not inherently painful or pathological in any way.