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14 Cards in this Set

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  • Back

Liver cells do what with bilirubin

Take unconjugated bilirubin up from the bloodstream, and secrete conjugated bilirubin into the bile ducts

What do AST and ALT indicate?

Liver damage. Not liver function, as is commonly said. Banasik clarifies that these are not indicators of liver function, but markers of liver cell injury.


If someone goes on a serious drinking binge all weekend, and then goes and gets a lab drawn on monday, what will be elevated?

AST, ALT

Which two Hepatitis viruses are associated with each other?

B and D. You can get B alone, or with D, which makes it worse. You cannot get D alone.

What is the transmission of Hepatitis A

Oral-fecal. Contaminated food.

What are the possible transmissions of Hepatitis B

Blood and body fluids. Sexual or IV contact.

What are the possible transmissions of Hepatitis C

Blood and body fluids. Sexual or IV contact. Mostly the blood/IV route.

What is the transmission of Hepatitis E

Oral-fecal. Waterborne.

How long can someone be a carrier of Hep A? How about Hep B? Hep C?


  • Hep A - Zero. Once they're not sick and shedding the virus, they're not carriers.
  • Hep B - Up to a few years.
  • Hep C - Like friggin forever.

What are some evaluations that can test for Acute Toxic Hepatitis?

  • History of exposure is important
  • Negative viral screen
  • Improvement after d/c drug
  • If alcohol is the toxin, AST>ALT, 2:1

What particular serum lab result is found with people who have alcoholism-induced Acute Toxic Hepatitis?

Their AST will be around double their ALT. Normally with other forms of hepatitis these are the same.

If someone tests positive for Hep B surface IgG antibody and negative for surface antigen, what does this mean?

They have immunity to Hep B

If someone tests positive for Hep B surface IgG antibody and positive for surface antigen, what does this mean?

They either have chronic Hep B or are a carrier

If someone tests positive for Hep B surface IgM antibody and positive for surface antigen, what does this mean?

They probably have acute Hep B