hepatitis Flashcards

1
Q

how is Hepatitis A spread?

A

faeco oral route

Hep A- ass

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2
Q

what is hepatitis A associated with?

A
  • overcrowded areas
  • poor hygiene
  • gay men (hep A= anal)
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3
Q

what causes acute viral hepatitis?

A

Hep A, B and E

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4
Q

presentation of acute viral hepatitis?

A
  • abdominal pain
  • nausea/vomiting
  • jaundice
  • darrhoea
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5
Q

how to diagnose acute hepatitis?

A
  • marked raised ALT and AST (often >1000)
  • bilirubin may be elevated
  • relatively normal Alk Phos/gamma GT
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6
Q

who is Hep A most common in?

A

children

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7
Q

how to diagnodr Hep A?

A

clotted serology for HAV IgM

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8
Q

how is Hep B transmitted?

A
  • sex
  • blood born
  • mother to child

Hep B= Breast milk, Blood, Banging

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9
Q

what may hep B cause?

A

Acute or chronic hepatitis

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10
Q

what is present in the blood of all infectious individuals with Hep B?

A

HBsAg (surface antigen)

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11
Q

what is usually present on highly infectious individuals with Hep B?

A

HBeAg (e antigen)

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12
Q

how to control Hepatitis A?

A
  • hygiene
  • prophalaxis
  • peg interferon injections given in combination with ravabarin tablets
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13
Q

how to manage acute Hepatitis B?

A
  • vaccine
  • rest
  • over counter pain killers
  • metoclopramide to make you feel less sick
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14
Q

what is hepatitis?

A

-infalmmation of the liver

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15
Q

causes of hepatitis?

A
  • alcoholic hepatitis
  • viral hepatitis
  • non alcoholic fatty liver disease
  • autoimmune hepatitis
  • drug induced hepatitis
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16
Q

symptoms of hepatitis?

A
  • fever in viral
  • jaundice
  • RUQ abdoiminal pain
  • nausea/vomiting
  • itching
  • muscle/joint pain
17
Q

what is released by liver during inflammation?

A

transaminases (ALT/AST)

18
Q

how will the LFTs present of someone with hepatitis?

A
  • increased transaminases (ALT/AST)

- potentially increased bilirubin

19
Q

what does increase in bilirubin cause?

A

jaundice