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35 Cards in this Set

  • Front
  • Back
what is the source of hepatitis A
feces
can be found in water, food, shellfish
What is the route of transmission for hepatitis A
fecal- oral
what prevention is there for hepatitis A
pre/post exposure immunization
what is the source of hepatitis B
Blood
Blood derived products
body fluids
route of transmission for hepatitis B
percutaneous
permucosal
what is the prevention for hepatits B
pre/post exposure immunization
what types of hepatitis can be chronic
B C D
what is the prevention for heptitis c
blood donar screening
risk behavior modification
what is diagnostics for suspected hepatitis
alt ast
IgM anti HAV
HbsAg
Anti HCV
possibly anti hep b core antigen to check for window period
HBeAg indicates
active HBV replication
high level of infectivity
what is the prevention for hepatits B
pre/post exposure immunization
what types of hepatitis can be chronic
B C D
what is the prevention for heptitis c
blood donar screening
risk behavior modification
what is diagnostics for suspected hepatitis
alt ast
IgM anti HAV
HbsAg
Anti HCV
possibly anti hep b core antigen to check for window period
HBeAg indicates
active HBV replication
high level of infectivity
Describe the clinical course of HBV
variable
extrahepatic manifestations such as
rashes hives and arthritis
a flu-like illness that subsides spontaneously
HCV
Describe the prodromal phase
duration of 2 weeks
fatigue malaise nausea vomiting headache changes in taste RUQ abd pain weight loss
Describe the icteric phase
duration 2-6 weeks
Jaundice
dark urine
clay colored stools
enlarged tender liver
pruritis rash
Describe the Recovery phase
Resolving jaundice
decreasing symptoms
chronic hepatitis may begin at this point for HBV HCV
Describe the clinical course of HBV
variable
extrahepatic manifestations such as
rashes hives and arthritis
a flu-like illness that subsides spontaneously
HCV
Describe the prodromal phase
duration of 2 weeks
fatigue malaise nausea vomiting headache changes in taste RUQ abd pain weight loss
Describe the icteric phase
duration 2-6 weeks
Jaundice
dark urine
clay colored stools
enlarged tender liver
pruritis rash
Describe the Recovery phase
Resolving jaundice
decreasing symptoms
chronic hepatitis may begin at this point for HBV HCV
IgM antibody to HAV indicates
acute infection
dissapears in 8 weeks
recent infection
Diagnostic tests that should be done if questioning hepatitis
cbc
ua
lfts
antibody to HCV appears when
6 months after initial infection
remains elevated indefinitly
what is HCV- RNA
the gold standard for HCV detection
detected 1-2 weeks after exposure
what are the diagnostic tests for chronic hepatitis
ultrasound
HCV genotype
Liver biopsy
What is the criteria for hospital admission for a patient with hepatitis
deterioration of mental status (may indicate hepatic encephalopathy)
bleeding .. variceal bleeding
Refractory ascites
new onset of sudden abdominal pain to r/o peritonitis
What is the general management of a pt with hepatitis
Supportive
rest
avoid etoh drugs
avoid abd trauma
fluids, diet, antiemetics, antipruruitics, education
what is the gold standard Medications indicated for chronic HBV
Pegylated Interferon alfa 2b plus Ribivirin
what type of hepatitis is more often associated with hepatic cancer
chronic
what is the post exposure treatment for HBV
HB immune globulin within 24-48 hours of exposure