Exam 2 - Viral Hepatitis Flashcards
Name the five major immunoglobulins.
1) IgM
2) IgG
3) IgA
4) IgD
5) IgE
What are the signs of hepatitis in a clinical presentation?
- Elevated aminotransferases (AST, ALT, Alk Phos)
- Hyperbilirubemia
- Hypoalbuminemia
- Hypoprothrombinemia
- Hepatomegaly
What is the ULN of ALT for men?
35 U/L for men
What is the ULN of ALT for women?
25 U/L for women
What are the symptoms for hepatitis in clinical presentation?
- Constitutional (fatigue, malaise, anorexia, nausea, myalgia, arthralgia, HA)
- Icterus
- RUQ abdominal pain
Name the 3 major hepatitis complications.
1) Liver failure
2) Cirrhosis
3) Hepatocellular carcinoma
What are the 3 things for diagnosis of liver failure in hepatitis?
1) Elevated AST/ALT
2) Hepatic encephalopathy
3) Prolonged prothrombin time (>1.5)
Name the 6 complications of cirrhosis that classify the condition as Decompensated Cirrhosis.
1) Ascites
2) Variceal hemorrhage
3) Spontaneous bacterial peritonitis
4) Hepatic encephalopathy
5) Hepatorenal syndrome
6) Hepatopulmonary syndrome
HAV stands for?
Hepatitis A Virus
How is HAV transmitted?
Oral-fecal route
What is the incubation period for HAV?
28 days
Which hepatitis virus is associated with low socioeconomic status, poor sanitary conditions, and dense population?
HAV
T/F: Infection with Hep A confers lifelong immunity.
TRUE
Describe the serologic response to HAV infection.
- Jaundice
- Increased ALT
- Fecal HAV
- IgM Anti-HAV
- IgG Anti-HAV
How long do symptoms of HAV last?
Generally 2 months
