Lecture 20: Hepatitis Flashcards

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1
Q

How many types of viral hepatitis’s are there

A

5: A-E

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2
Q

What is hepatitis A’s structure

A

a picornavirus; single stranded

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3
Q

What is HepA’s source of virus

A

feces

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4
Q

What is HepA’s route of transmission

A

fecal-oral typically
contamination of food and water
Directly from one individual to another

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5
Q

Can HepA be chronic

A

No, and has no long-term sequelae (99% of the time people recover)

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6
Q

What is the prevention of HepA

A

Pre/post exposure immunization

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7
Q

What is the epidemiology of HepA

A

correlates with sanitation levels, therefore is very common in countries but rare in places with good waste management

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8
Q

When does HepA happen

A

sporadic (not a given time of year) and epidemic base

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9
Q

How does HepA affect your body

A

ingested, replicates in the bowel wall and spreads via the blood stream to the liver

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10
Q

What is the incubation period in HepA

A

2-4 weeks

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11
Q

What are symptoms of HepA

A

most cases are asymptomatic, sometimes people have cases of jaundice though

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12
Q

How is diagnosis confirmed in HepA

A

using IgM serology, which can confirm the appearance of IgM antibodies

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13
Q

What is an Immune globulin

A

It serves as instant protection for post exposure of HepA used for immunocompromised people

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14
Q

When is a vaccine for HepA given

A

For travellers

Individuals at high risk of HepA because of occupational or other exposure

Outbreak settings

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15
Q

What is the structure of HepB

A

a double stranded Hepadnavirus

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16
Q

How is HepB transmitted

A

parenteral, perinatal, and sexual routes

17
Q

How infectious is HepB

A

Very infectious, app 30% of needle sticks result in infection in non-immune individuals

18
Q

Can you develop chronic HepB

A

yes

19
Q

Who is most likely to be in the carrier state of HepB

A

If you are infected with the virus when you are young you are more likely to be in the carrier state than if you are infected when you are older

neonates <90%, 5% for adults

20
Q

What are the consequences of chronic HepB

A

No/minimal liver injury

Chronic active hepatitis

Cirrhosis of the liver: liver failure, portal hypertension

Hepato-cellular carcinoma