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40 Cards in this Set

  • Front
  • Back
How is diagnosis of viral hepatitis determined?
*Presence of antigens
*Antigenic sub-types
*Development of specific antibodies
What is homologous immunity?
Infection provides immunity to specific viruses but pt still develops another type of viral hepatitis.
List the types of prevention.
*Primary
*Secondary
*Tertiary
Describe primary prevention.
Avoid development of disease (vaccines).
Describe secondary prevention.
Early detection of disease (management).
Describe tertiary prevention.
Reduce negative impact, restore function, and reduce disease related compliations.
What is the incubation period of HAV?
15-50 days.
How is HAV transmitted?
Fecel-oral.
Is there a chronic carrier state of HAV?
No.
How long is a person infectious with HAV?
1-2 weeks after onset of symptoms.
What type of prevention is there for HAV?
*No raw shellfish
*HAV vaccine
*Immunoglobulin before exposure or 2 weeks after
How is HBV transmitted?
Blood.
How long is HBV infectious?
4-6 months.
What indicates carrier state of HBV?
HBs-AG persists in serum >6-12 months after infection.
How can you prevent HBV?
*HBV vaccine
*Safer sex
What is the major route of transmission for HCV?
Percutanious exposure.
Is there a vaccine for HCV?
No.
What must be present for HDV to function?
HBV.
How is HEV transmitted?
Fecal-oral.
Is there a test to diagnose HEV?
No.
What are symptoms of the acute phase of hepatitis?
*Jaundice
*Fatigue
*Nausea
What are the diagnostic tests for hepatitis?
Liver function tests (LFT).
What happens when PT is prolonged?
Decreased absorption of vit K in intestine with decreased production of prothromin by liver.
What are the puposes of the drugs used to treat viral hepatitis?
Symptom relief.
If someone has hepatitis, what meds should be avoided?
Drugs metabolized by the liver.
What kind of diet would a patient with hepatitis have?
*High calorie
*High protein
*High carbohydrates
*Low fat
Is bacterial meningitis a medical emergency?
Yes.
How is meningitis (bacterial)transmitted to the meninges?
Upper respiratory tract or blood stream.
What are the key signs of bacterial meningitis?
*Fever/chills
*Severe headache
*Nausea/vomitting
*Stiff neck
How is bacterial meningitis treated?
IV antibiotics.
Is there symptoms of brain involvement of viral meningitis?
No.
Will nuchal rigidity be present in children with meningitis?
It may or may not.
What types of organisms cause pneumonia?
*Viruses
*Bacteria
*Fungi
Is fungal pneumonia transmitted person to person?
No.
What is a symptom of bacterial pneumonia seen primarily in elderly or debilitated patients?
Confusion and/or stupor.
What is a significant clinical manifestation of viral pneumonia?
Nonproductive cough.
List some complications of viral pneumonia.
*Pericarditis
*Arthritis
*Meningitis
*Endocarditis
What is the main goal of treatment for viral pneumonia?
Treat the symptoms.
When is the pneumococcoal vaccine recommended?
>65 years of age.
What is noticable in children with pneumonia?
*Retractions
*Nasal flaring