Hepatitis Flashcards

1
Q

Hep A- Eti

A

Fecal oral contamination

  • Immunization available
  • Travel & IDU
  • Acute only
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2
Q

Hep A- Sx

A

Asymptomatic in children

  • Abrupt or insidious onset- malaise, myalgia, arthralgia, URI & anorexia
  • N/V, diarrhea or constripation
  • Low grade fever
  • Jaundice
  • Mild abd- RUQ, epigastric pain
  • Hepatomegaly rare
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3
Q

Hep A- Dx-

A

Elevated AST/ ALT, bilirubin, alkphos

- Anti-HAV for dx

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4
Q

Hep A- Tx

A
  • Handwashin

- Post exposure prophylaxis- HAV immune globulin

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5
Q

Hep B- Eti

A
  • Blood/ sexual contact transmission
  • Vaccination available
  • Common in immigrants
    6 wk-6mo incubation
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6
Q

Hep B- Sx

A
  • Low grade fever
  • Defervescence, & fall in pulse
  • Prodrome of anorexia, nausea vomitin, malaise, aversion to soming
  • Enlarged, tender liver
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7
Q

Hep B- Dx

A
  • Anti HB/ HB tests
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8
Q

Hep B- Tx

A
  • Vaccinate
  • No cure
  • Chronic Hep B- antiviral tx
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9
Q

Hep C- Eti

A
  • Blood transfusions in baby boomers

- IDU, sex, meth

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10
Q

Hep C- Sx

A
  • 6-7 week incubation
  • Jaundice
  • Often mild & asymptomatic
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11
Q

Hep C- Dx

A

Hep C enzyme assay

- No vaccine

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12
Q

Hep C- Tx

A
  • Curable with antiviral therapy
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13
Q

Hep D- Eti

A
  • Defective virus
  • Must be co-infected with HBV
  • Superinfection or conincident
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14
Q

Hep D- Dx

A

Antigen assay

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15
Q

Hep E- Eti

A
  • Acute hepatitis
  • Fecal oral transmission
  • Asia, middle east
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16
Q

Hep E- Sx

A
  • Extra hepatic manifestations: arthritis, pancreatitis, neuro
17
Q

Hep E-

A

IgM anti-HEV in serum