Acute hepatitis Flashcards
(16 cards)
Acute hepatitis definition
Inflammation of the liver with little-no fibrosis or nodular regeneration
Main categories of causes of acute hepatitis
- Infection
- Chemical toxicity
- Pregnancy
Typical symptoms of acute hepatitis
Fever Malaise, myalgia RUQ pain, tender hepatomegaly N/V, diarrhoea Jaundice, pruritis
Specific causes under INFECTIVE causes of acute hepatitis
Hepatitis A, B, C, E CMV Infectious mononucleosis Amoebic infection Sepsis
Most common causes of acute hepatitis
Hepatitis A infection
Specific causes under CHEMICAL TOXICITY for acute hepatitis
Paracetamol Methotrexate Isoniazid Rifampicin Alcohol
Hep A serology shows elevated IgM, no IgG
Interpretation?
Recent/active infection
Hep A serology shows no IgM, elevated IgG
Interpretation?
Immune
previous infection/vaccination
Hep A treatment
Supportive care
How long does Hep A take to resolve?
from 2 weeks to 4 months
Hep A immunisation,
for who?
ATSI children in NT, QLD, SA, WA
Hep A immunisation,
when?
18 months and 4 years of age
for ATSI children
Hepatitis A transmitted via ___ route
fecal-oral
Hepatitis B transmitted via ____ route
exchange of body fluids
IV, sexual fluids, mother-child
Hep B symptoms start __(time period)__ after infection
6 weeks-6 months
Acute Hep B symptoms include symptoms of acute hepatitis AND SOMETIMES other features, which are:
- Polyarthritis
- Skin rashes
- Glomerulonephritis