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Flashcards in Adult - Hepatitis Deck (25):
1

Mode of transmission for Hepatitis A

fecal - oral

2

Mode of transmission for Hepatitis B

all body fluids - serum, saliva, semen, vag juice, breast milk

3

Mode of transmission for Hepatitis C

post transfusion
IV drug use

4

In Hepatitis - possible ALT and AST in hepatitis vs regular levels

500 - 2000
vs
35-40

5

When interpreting serology in Hepatitis A, what are the possible options?

Active
Recovered

6

When interpreting serology in Hepatitis B, what are the possible options?

Active
Chronic
Recovered

7

When interpreting serology in Hepatitis C, what are the possible options?

Acute
Chronic

8

What are features of the pre-icteric stage of hepatitis?

fatigue
malaise
anorexia
aversion to smells

9

What are features of the icteric stage of hepatits?

jaundice
clay colored stool
dark urine
weight loss
pruritis
RUQ pain

10

What is Anti-HAV? in which stage is it present?

antibody to Hep A

present in both active and recovered stages

11

What does IgM represent?

"iMmediate infection"

12

What does IgG represent?

"Gone infection"

13

What is Anti-HBsAg? in which stage is it found?

Hepatitis B surface antigen

clue to RECOVERED hep b

14

What is Anti-HBc? in which stage is it present?

antibody to hepatitis B core antigen

present in all stages so can be DISREGARDED

15

What is HBeAg? in which stage is it present?

hepatitis B "e" antigen -->

indicative of viremia and means the person is highly infectious

present in ACTIVE hep b

16

What is Anti-HBe? in which stage is it present?

antibody to HBeAg

found in CHRONIC hep b

17

Maybe add the Hep serology "sets" here?

x

18

Which hepatitis does not have a recovery phase?

Hep C

19

What is the serology for Hep C?

Acute and chronic have the SAME serology which is:
Anti-HVC, HCV RNA

20

In Hep C, how are prior exposure and current viremia differentiated?

polymerase chain reaction (PCR)

21

For hepatitis management, should fluids be increased or decreased?

INcreased to 3000-4000 mL/day

22

What should NOT be ingested by those with hepatitis?

alcohol
meds detoxed in liver
protein

23

What can be used for sedation in patients with hepatitis?

oxazepam (Serax)

24

What my happen to coags such as PT in hepatitis and what is the treatment?

PT may become prolonged (> 15 sec)
treat with vitamin K

25

What is the cause of and magical drug for Hepatitis Weirdness?

elevated ammonia levels can cause hepatic encephalopathy

lactulose is treatment