Hepatitis Flashcards

1
Q

How is Hepatitis A transmitted?

A

Transmitted through consumption of contaminated water or food and certain sex practices.

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2
Q

How is Hepatitis B Transmitted?

A

Transmitted through exposure to infected blood, semen, body fluids, contaminated blood products, and IV drug use.

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3
Q

What type of hepatitis poses risk to healthcare workers due to needle stick injuries?

A

Hepatitis B

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4
Q

How is Hepatitis C Transmitted?

A

Transmitted through exposure to infective blood, HCV-contaminated blood & blood products, and IV drug use. Sexual transmission is possible but less common.

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5
Q

What type of hepatitis does not have a vaccine?

A

HCV

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6
Q

What type of hepatitis is the common cause of hepatitis outbreaks in developing nations?

A

Hepatitis E Virus (HEV)

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7
Q

What vaccine provides protection from Hepatitis D Virus?

A

Hepatitis B Virus Vaccine

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8
Q

Inflammation of the liver from viral infection

A

Hepatitis

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9
Q

Chronic infections do not occur for what type of hepatitis?

A

HAV

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10
Q

What types of hepatitis can remain dormant in the liver and cause chronic hepatitis & hepatocellular carcinoma?

A

HBV & HCV

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11
Q

What is the initial presentation for Hepatitis?

A

Flu like symptoms

ie: Fatigue, fever, muscle/joint pains, runny nose, pharyngitis, nausea, vomiting, anorexia

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12
Q

What symptoms would be present for Hepatitis after 1-3 weeks from onset?

A

Low-grade fever
Hepatomegaly with Liver tenderness
Jaundice & Scleral icterus
Right upper quadrant abdominal pain

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13
Q

What releases liver enzymes in the blood during an active hepatitis infection?

A

Hepatocytes death

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14
Q

How is a Hepatitis Diagnosis confirmed?

A

Hepatitis panel Serologic Testing

The presence of IgM and IgG components of viral hepatitis

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15
Q

How will a LFT present in a patient with viral hepatitis present when compared to Alcoholic hepatitis?

A

Viral hepatitis = ALT>AST

Alcoholic hepatitis = AST>ALT.

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16
Q

What values will be abnormal on a Complete Metabolic Panel (CMP) for a patient with hepatitis?

A

Elevation in bilirubin and alkaline phosphates

17
Q

Differentials for Viral Hepatitis

A

1) autoimmune hepatitis
2) drug induced hepatitis
3) alcohol induced hepatitis
4) bacterial hepatitis
5) Metabolic (autoimmune) hepatitis

18
Q

Disposition for Hepatitis

A

MEDADVICE but MEDEVAC as soon as operational conditions allow

Place patient on SIQ

19
Q

Do you have to isolate Hepatitis?

A

No

20
Q

What medications should be avoided in anybody with hepatitis?

A

Medications that impact the liver

(ie: NSAIDS and Tylenol)

Just use fluids to reduce fever