Hepatitis

Question 1

How common is Viral Hepatitis

Answer 1

Hepatitis A,B,C,D,E

Hep A is the most commonest cause of acute viral hepatitis but now less because of vaccination

Hep B is common and usually in Middle east africa east asia

Hep C is largely undiagnosed

Hep D 5% of Hep B have Hep D co-infection. cant replicate without hep B

Hep E recently recognised

Question 2

Define Hepatitis

Answer 2

It is the inflammation of the liver caused by infection

Question 3

Risk factors of acute hepatitis

Answer 3

• IVDU
• Alcohol abuse
• Poor hygiene
• Contaminated water/sewage workers
• Travel
• Bleeding disorders/blood transfusions
• MSM (men who have sex with men)
• Sexual promiscuity
• Pregnancy and breastfeeding
• Needlestick injury/healthcare workers

Question 4

Symptoms of Viral hepatitis

Answer 4

Prodromal Sx usually preceded by Jaundice

Vomiting and diarrohoea may follow with abdominal discomfort

Dark urine and pale stools may precede Jaundice

minimal hepatomegaly

occasional splenomegaly and cervical lymphadenopathy

Unspecific symptoms usually and confirmed by LFT

Question 5

24yr old male presents with nausea, malaise, and jaundice. He returned 3 weeks ago from a holiday. O/E moderate hepatosplenomegaly and tender cervical lymphadenopathy. He has dark urine and pale stools.

Answer 5

Hep A