Hepatitis

Question 1

What is hepatitis?

Answer 1

Is inflammation in the liver that can lead to necrosis + failure of liver.

Question 2

Whats the cause of hepatitis?

Answer 2

Alcoholic hepatitis
Non aloholic fatty liver disease
viral hepatitis
auto immune hepatitis
Drug induced hepatitis

Question 3

Presentation and symptoms of hepatitis?

Answer 3

Abdominal
Fatigue
Pruritis
Muscle + joint ache
Nausea + vomiting
Jaundice
Fever

Question 4

What is hep A?

Answer 4

Most common hep worldwide

Its transmitted via faecal-oral route

It can cause cholestasis

Managment is basic analgesia

Question 5

What is hep A?

Answer 5

Most common hep worldwide

Its transmitted via faecal-oral route

It can cause cholestasis

Management is basic analgesia

Question 6

What is Hep B?

Answer 6

It is a DNA virus transmitted via blood or bodily fluids.

Most people fully recover but some become carriers of virus.

To test for hepatitis B you test for HBCAB + HBSAG

Question 7

What is Hep c?

Answer 7

It is an RNA virus, which is spread by blood + bodily fluids.

Testing:
- HEP C antibody screening test
- Hep C RNA testing

Question 8

What is Hep D?

Answer 8

Is a RNA virus that only survives in patients who have a HEP B infection

Question 9

What is Hep E?

Answer 9

Is an RNA virus that is transmitted via faecal oral route

Goes away after month, no treatment needed

Question 10

what is auto immune hep ?

Answer 10

Rare cause of chronic Hep:
-Type 1 - occurs in adults
- Type 2 - Occurs in children

Type 1 autoantibodies present:
- Anti nuclear antibodies
-anti smooth muscle antibodies
-anti soluble liver antigen

Type 2 Autoantibodies presnt:
- Anti LKM
- Anti LCI

Diagnosis:
-liver biopsy

Treatment:
- High dose of steroids ( prednisolone)