Hepatitis

Question 1

What is the definitive treatment for Hepatitis?

Answer 1

Liver transplant

Question 2

What is Reye syndrome?

Answer 2

Fulminant hepatitis MC seen in children associated with Aspirin use during viral infections but may occur without Aspirin use

Question 3

A child is seen admitted for intractable vomitting and encephalopathy. On PE you see a rash on the hands and feet along with dilated pupils and minimal response to light. Labs reveal liver damage and multi-organ failure. What is the most likely diagnosis?

Answer 3

Reye syndrome

Question 4

Which hepatitis is associated with spiking high fever?

Answer 4

Hepatitis A

Question 5

When does Hepatitis become Chronic?

Answer 5

Disease >6 months

Question 6

Which types of Hepatitis are associated with Chronic hepatitis?

Answer 6

HBV: 10% of becoming chronic
HCV: 80% of becoming chronic
HDV

Question 7

A patient is diagnosed with Hepatitis, doesn’t matter which one, what is the prognosis?

Answer 7

Clinical recovery usually within 3-16 weeks

Question 8

How does viral hepatitis affect liver function tests?

Answer 8

1. Increased ALT > increased AST (both > 500 if acute)

2. +/- bilirubinemia

Question 9

If a hepatitis patient experiences an icteric phase, when does it usually occur?

Answer 9

After the fever subsides