Section 3 Flashcards
0
Q
Hepatitis A
A
- fecal- oral transmission
- contaminated food and water supplies
- vaccine
- does not become chronic
- hepatitis E is similar.
1
Q
Hepatitis
A
- hepatitis is inflammation of the liver and can have numerous causes, the most notable notable being viral infection
- hepatitis viruses are A,B,C,D, and E
2
Q
Hepatitis B
A
- transmitted by contact with infected blood and body fluids; can be transmitted by sexual contact; can be transmitted from mother to fetus
- vaccine
- can be chronic
- must have been infected with hepatitis B to have D; hepatitis D is a co-infection or superinfection
3
Q
Hepatitis C
A
- transmitted by contact with infected blood
- it is unknown if it is transmitted by sexual contact
- no vaccine
- can become chronic
4
Q
Acute versus chronic hepatitis
A
- in general fecal-oral transmission leads to acute hepatitis
- transmission my blood and body fluids often lead to chronic disease
- with severe infection hepatitis may occur and lead to hepatic failure
- cirrhosis is the end-stage liver disease marked by interference of blood flow to the liver and widespread liver damage
5
Q
Chronic hepatitis
A
- caused by hepatitis B C and D
- may also be caused by autoimmune disease or hepatitis associated with certain medication
- most is caused by hepatitis C
- end result is liver failure
6
Q
Cirrhosis
A
3 slides
7
Q
As cites
A
- Accumulation of fluid in abdominal cavity
- fluid is trapped in a third space
- cirrhosis is the most common cause
- impaired excretion of sodium by the kidneys promote water retention
- portal hypertension and reduce serum albumin cause capillary hydrostatic pressure to extinct capillary osmotic pressure, the imbalance pushes water into the peritoneal cavity
8
Q
Jaundice
A
- urine may become dark several days before onset of jaundice
- there maybe like color stools
Ex - obstructive jaundice
- hemolytic jaundice
9
Q
obstructive jaundice
A
Common bile duct is blocked
10
Q
hemolytic jaundice
A
- Excessive lysis (breakdown) of RBCs
- bilirubin is a product of lyses of RBCs
- with damage to the liver it circulates freely and causes jaundice
11
Q
icterus
A
- This is the presence of jaundice
- the presence of liver disease marked by jaundice this is referred to as the icteric phase
- newborns often experience some degree of physiologic (expected jaundice) due to liver immaturity, resolves spontaneously within a week (bili lights)