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47 Cards in this Set

  • Front
  • Back
What is used to prevent HBV?
series of vaccines
Which strains of hepatitis have an Insidious (slow) onset?(2)
B and C
Which type of HEP has an abrupt onset?(2)
A & E
What kind of Hep is this?
Most cases occur 5-10 weeks after exposure.Period of communicability 1 week after exposure through chronic stage. N/V, Anorexia & Jaundice
Hep C
What Hep does this describe?
Abdominal discomfort, anorexia( no appetite), fatigue, FEVER, muscle aches , N/V, Dark Urine & Jaundice
Hep A
How long is HBV active and contagious? on what and how long?
HBV is active and contagious up 2 weeks on inanimate objects.
What Hep does this describe?
Blood transfusion, IV drug use , Possible sex transmission, Mostly Adults
Hep C
What is this kind of HEP?
* 70% infections for 3+ months after signs smptoms subside.
* 5-10% are lifelong carriers.

* Chronic carriers may develop cirrhosis and liver Cancer

* 15-25% of these die from chronic Liver Dx
Hep B
Which Hep does this describe?
Fecal,

waterborne,


contaminated food,


found in underdeveloped countries

Hep E
Incubation Unknown for which HEP?
Hep D
Incubation for this Hep is 15-50 days?
Hep A

Hep A and Hep E


Same:
abrupt onset
Not chronic


Different:
Hep A


Can come from blood on hands but mostly fecal/oral


15-50days
Vaccine: Yes
Who gets it: Kids/young adults , Mostly Autumn


Hep E differences from Hep A:15-60 days (10 more days)

Vaccine: NO

Kids/ young adults , main cases autumn?
Hep A
Incubation 15-60 days?
Hep E
Hep A Incubation ?
15-50 days
Do Hep A and Hep E have vaccines?
No, only Hep A has a vaccine
Fecal-Oral transmission?
Hep A and E
What do A and E have in common regarding how they start( one word) and what transports them?
Abruptly -fecal /oral
Signs/Symptoms for Hep A and E

Hep A:

* Abdominal discomfort, anorexia, fatigue, FEVER, muscles aches, N/V, Dark Urine, and Jaundice, average sick 28days,Poor sanitation/overcrowding( woodstock) My friend got A in Nica during the war. ss/sx usually last less than 2 mos. some pts can have a longer case or relapse 6-9 mos.

Hep E:

* Sudden FEVER!, Nausea, malaise, anorexia, Pt can have a mild case 7-14 days or be disabled for several months. Average 40 days sick

* Underdeveloped countries ( africa)
List three differences between Hep A and E?
1. Hep A:
* abdominal pain

* Dark Urine

* Fever

* Muscle Aches

* 15-50 days

* Vaccine

* Crowded , poor sanitation

* Kids/ Young adults , Autumn

* Sudden Fever

* Malaise

* Nausea

* 15-60 days

* average 40 days

* No vaccine

* varies in severity : either mild 7-14 days or disabling several months

* underdeveloped countries
Hep B and C Review:


Hep B:

* Blood/Body Fluids/

* Contaminated food/h2o, poor sanitation & overcrowded( prison)

* Iv Drug Use

* Needle stick

* Sex
Hep C: * BloodBlood transfusion

* IV drug use

* Maybe sex?

* Mostly Adults


How does one get Heb B and C?


HepB:
1. Blood ie: Needle stick ( ouch)

2. IV drug

3. Sex

4. Body fluids;ex urine, spit , vaginal fluids, tears, sweat, semen, feces)

5. Contaminated food and H20

6. Poor sanitation and overcrowding( how many people at woodstock got this?)

7. blood borne ie:

8. blood transfusion

9. IV drug use

10. Maybe but not known for sure:sex?

11. Mostly adults get this one.
If a patient says they have Delta Hep would you think they were from the South and they were talkin about Delta Dawn or some crazy Hep you never heard about??? What is the more common name for this HEP?
Delta Hep is the other name for Hep D and it is caused from Iv drug use and hemophiliacs can get it too.
Hep -? is ONLY contagious during INCUBATION (180 days), full blown, and chronic stages and NOT during the recovery stage?
A. Hep A
B. Hep E
C. Hep A and B
D Hep B only
D. Hep B only
How long does HBV remain active and contagious on your treatment table and anything else the patient touched ? how do you clean it in the treatment room?
HBV contagious and active for 2 weeks on inanimate objects. If a patient comes in and is in active stage you clean the room with a bleach solution.
What kind of patient gets Hep D?
Hep D pts are Hemophiliacs and IV drug users
What type of HEP is this?

* Most cases occur 5-10 wks (35-70 days) after exposure.

* Period of communicability-1wk after exposure through chronic stage.

* Nausea, vomiting, anorexia and jaundice
Hep C
Hep A has jaundice but the ss/sx are abdominal pain, FEVER , dark urine , muscle aches
What type of HEP is this?


* 75-80% develop chronic infection, 60-70% develop chronic hepatitis, may lead to cirrhosis, 20% liver cancer.
Hep C
How is Hep B transmitted to people in medical field, especially in case of acupuncturists?
Needle stick
HEP B what are 3 ways that it can be transmitted?
1.IV Needle Stick
2. Needle stick
3.Sex
4. Body fluids( spit, feces, sweat, tears , urine, semen)
5. Contaminated food/ water-poor sanitation and overcrowding ( This can happen in prisons and jails )
What are 3 ways HEP C can be transmitted?
1.Blood Transfusion
2. IV drug use
3. Maybe sex?
What is the incubation period for HepC?
14 - 180 days
What is the incubation period for Hep B?
45-160 days
What HEP has the shortest incubation period?
HEP A is 15-50 days
What kind of HEP has the longest incubation period?
HEP C is 14-180 days (6 frickin months)
Which 2 HEP types can lead to Liver Cancer and Cirrhosis?
Hep B and C
3.What type of Hep has to have HBV at the same time ( HBV is Hep B)?
A. Hep C
B. Hep D
C. Hep A
D. Hep E
B. HEP D has to have HBV at same time
True or False
Hep B is contagious during incubation (up to 6 months), during full blown Hep B , chronic and during the convalescent stage?
False all but convalescent stage
Review Two types of Chronic kinds of HEP

Chronic Active: Severe fatigue i.e. malaise, weight loss, anorexia and often jaundice

Chronic Persistent : Asymptomatic( no symptoms) or has very few symptoms but CAN continue to infect others
What kind of chronic HEP does this describe?

Asymptomatic or has very few ss but can continue to infect others.

Chronic Persistant
This Chronic HEP is described as:
* Progressive symptomatic dx that continues to damage the Liver.
* Ss/sx include Very bad fatigue( malaise) weight loss, anorexia, and often jaundice.
Chronic Active


Who can get HIV?
Anyone who engages in unsafe sex practices or in work environments that are high risk like the medical field
What is the risk for practioners who work with patients with HIV?
Secondary infections like HEP, Herpes virus and Staph
What kinds of tests are there for HIV?(2)
1. The first lab test will be looking for antibodies.
2. There are also Rapid HIV tests that let you know in an hour
What kinds of opportunistic infections with HIV? ( 4)
1.esophageal candiasis( neoplastic disorder)
2.Cytomegalovirus
3.Kaposi's sarc
4.pneumocystis carinii pneumonia
Initial infection is usually followed within 2-4 weeks by a febrile dx thats like mono or the flu. This stage is pretty quick and most people just blow it off . This describes what dx?
A. AIDS
B. HIV
C. HBV ( HEP B)
D . Hep C
B. HIV
these people stay healthy for long time then they get sick with HIV
When a patient is first infected with HIV how long does it take for it to become AIDS?
A. 50-150 days
B. !5-60 days
C. 8-10 years
D. 20-90 days
C . 8-10 years aftern initial infection