Hepatitis A Flashcards
1
Q
Features
A
Fever, malaise, anorexia, nausea, arthralgia→jaundice
Recovery usu. in 3–6 wks—self limiting
Sometimes a subclinical illness
No carrier state
Does not cause chronic liver disease
Fulminant hepatitis with coma & death is rare
LFTs and viral markers confirm diagnosis
2
Q
Serology
A
IgM anti HAV = active infection
IgG antibodies = immunity
3
Q
Treatment
A
Rest as appropriate
Avoid sedatives, NSAIDs
Cease alcohol until LFTs normal
Cease OCP
Fat-free diet
Advise on infection control
4
Q
Prevention
A
Sanitary health measures
2 dose primary vaccine 0 → 6–12 mth
5
Q
A
