Infection 4 Hepatitis Flashcards
what is hepatitis?
inflammation of the liver due to cell injury or viruses
can cause collateral liver damage
describe hepatitis ABCDE
A - acute
B - bit of both
C - chronic
D - double trouble (only happens with B)
E - like A
transmission of hepatitis ABCDE
A - faeco-oral
B - blood, sex, vertical
C - blood, sex
D - blood, sex , vertical
E - faeco-oral
which hepatitis is chronic?
B and C (+D)
outline the viral structure of hepatitis A
ssRNA
positive
nonenveloped
icosahedral
same as E
outline the viral structure of hepatitis B
dsDNA
enveloped
outline the viral structure of hepatitis C
ssRNA
positive
enveloped
icosahedral
outline the viral structure of hepatitis E
ssRNA
positive strand
nonenveloped
icosahedral
same as A
blood test results of hepatitis patient
high bilirubin, ALT + ALP
damage to liver
what are the different types of jaundice and their causes?
Prehepatic - haemolysis
Intrahepatic - hepatitis, drugs, alcohol, cirrhosis
Extraheptic - gall stones, carcinoma
list some liver function tests
bilirubin
albumin
alanine transaminase ALT
aspartate aminotransferase AST
alkaline phophatase ALP
coagulation tests INR + PT
three causes of increased ALT >1000
viral hepatitis
drugs
blood clots
symptoms of acute hep B
jaundice
fatigue
abdominal pain
anorexia
vomiting
arthralgia
ALT/AST >1000
outline hep B serology
- HBsAg surface antigen within 6 weeks
- HBeAg highly infectious e-antigen appears
- IgM - core antibody appears
- HBeAb e-antibody appears > less infectious
- HBsAb surface antibody last to appear > clears virus
- HBcAg / IgG - persists for life
what is chronic hep B infection?
persistence of HBsAg after 6 months