hepatobillary Flashcards
how is hep A transmitted
fecal oral route
what are the managements for hep A
vaccine
post-exposure: Hep A IG
is there a chronic phase for hep A
no
how is hep B transmitted
bodily fluids
what are the managaments for hep B
vaccine
chronic exposure: nucleoside inhibitors - entecavir/tenofovir
post-exposure: Hep B IG
what therapy can be used to boost immune system to fight the virus
interferon therapy
what are the stages of liver damage
healthy → fatty → fibrosis → cirrhosis
what is liver cirrhosis caused by
chronic alcohol use
hep B and C
non alcoholic fatty liver disease
s/s of liver cirrhosis
ascites
jaundice
encephalopathy
spider angioma - spider looking red spot
what are the 6 complications of liver cirrhosis
ascites
portal hypertension
hepatic encephalopathy
coagulapathy
hepato renal syndrome
spontaneous bacterial peritonitis
what is the management for portal hypertension caused by cirrhosis
beta blockers
what is the management for ascites caused by cirrhosis
paracentesis
diuretics (furosemide and spironolactone)
what is the management for hepatic encephalopathy caused by cirrhosis
**ammonia
rifaximin
lactulose
what is the management for sbp caused by cirrhosis
rifaximin
ciprofloxacin
what is the management for hepatorenal syndrome
n-acetylcysteine