Hepatitis

Question 1

Which Hepatitis is most commonly found in children?

Answer 1

Hepatitis A (over half)

Question 2

Which H’s can be transmitted via the faecal-oral route?

Answer 2

Hep A/Hep E. Hep A presents as a bout of food poisoning & Hep E is only found in endemic areas.

Question 3

How does viral hepatitis present - there are two stages.

Answer 3

1) Pericteric phase: headache, anorexia, abdo discomfort, nausea & vomiting
2) Icteric phase: jaundice & tender hepatomegaly.

Question 4

Tx for hepatitis?

Answer 4

Supportive, with rest & hydration.

Question 5

Why and when is hospitalisation required?

Answer 5

Severe dehydration, deranged liver function (abnormal clotting) + hepatic encephalopathy.

Question 6

Which of the H’s are DNA virus?

Answer 6

Hep B - all the rest are RNA

Question 7

Roughly what is the incubation peroids

Answer 7

Hep A: 15-30 days
Hep C/E: 30-60 days
Hep B: 60-180 days

Question 8

Which Hep must have co-infection with Hep B

Answer 8

Hep D

Question 9

Which can cause acute liver failure (fulminant liver disease)

Answer 9

Hep D & Hep E

Question 10

Which are associated with ↑ risk of hepatocellular carcinoma

Answer 10

B & C

Question 11

How to prevent B,C,D

Answer 11

Tranfusion safety, safe sex, education needle exchange