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We are 100% user supported! Home >> Flashcards >> Medical >> Hepatitis
Details Title: Hepatitis Description: hepatitis Total Flash Cards: 49 Created: 10/09/2008 05:30:00
Cards in this set:
Term Definition
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What is Hepatitis?
A descriptive term that refers to infection with any of the 6 hepatotrophic viruses. A, B, C,D, E, & G.
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Definition
Term
Definition
15-45d (3w average) Remember Hep A: abrupt onset Hep B: gradual onset Hep C: insidious onset.
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Definition
True or False A pt with Hep A is infectious for 2-3w in the late infection and early clinical course.
Term Definition
True.
True
If positive, Hep A IgG shows past infection and lasts indefinately. If positive, Hep A IgM (moment) shows a current infection and can last up to 3-6m before it returns to normal.
Term
What is the adverse relationship that exists in the Hep A while normally the most begign of the 6 comorbid states of Hep A & Hep C. hepatitis, becomes an aggrevating factor to Hep C & worsens its outcome when they exist together.
Term Definition
CBC Lytes w/LFTs PT/PTT Viral markers HAV antibody (appears when s/s present 1-8w) Anti HAV IgM (Dx made by this lab) Anti HAV IgG
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Definition
Anti HAV IgM it is present when s/s appear becomes negative when IgG pops up Pt will have life long immunity after.
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Prevention:
Vaccine (2 inj. 6-12m apart) avoid contaminated food Post exposure: Immune globulin
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Definition
Yes.
True or False Hep B is the only one of the Hepatitis to be considered an STD.
Term Definition
True.
Sex (semen) Blood Saliva Mucous mem. Mom to fetus Tattoo parlors
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Definition
True.
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lab that is positive in the acute stage of infection. Usually positive in the 4th-12th week.
Definition Definition
True or False 80-90% of the time the Hep B surface antigen will disappear in about 3m.
True.
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True, the Hep B surface antigen usually falls away in about 3m 80-90% of cases. If the Hep B surface antigen is positive after 6m of acute infection, the pt is a carrier.
Term Definition
True or False
True.
indicates past infection appears after ABsAG dissappears indicates full recovery provides immunity
Definition
Term
True or False The Hep B core antibody has two parts: 1. IgG 2. IgM
Term Definition
True
True or False If the Hep B surface antigen is positive the pt is in a highly infectious state.
Term Definition
True.
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Definition
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Is the treatment for Hep B dependent on the viral load and ALT levels of the pt?
Yes.
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Definition
ALT
In the pt that has hepatitis, what could the It may indicate that the liver is damaged to the absence, decline, or low level of liver enzymespoint be that it no longer is able to produce enzymes. an indicator of?
Term Definition
What disease state must be present first in order Hep B. to diagnose Hep D? If you vaccinate against Hep B, then you really vaccinate against Hep D.
Term Definition
True or False We did not test our blood supply for Hep C prior to 1992
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True
True or False HIV & Hep C aggrevate one anothers disease states.
Term Definition
True
True.
Hep C
Transfusion before July 1992 Injecting or snorting drugs-even once Ear, body piercing Hemodialysis organ transplant Multiple sex partners Health care worker
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may have none, many asymptomatic lethargy fever nausea ab pain jaundice SKIN RASH AND HEADACHES In HIV population ALT can fluctuate
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What do most pts with HIV die of today? Bleeding complications related to Hep C. If they do not have Hep C, they may live a long life.
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True or False Liver biopsy is the gold standard for amount of liver damage in hepatitis C, but has risk of bleeding & small risk of death.
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True
True
Sucessfully treated pts loose HCV-RNA during tx. If HCV-RNA is zero after 6m after tx, cure is durable Cured pts have been followed up to 13y with no return of HCV-RNA
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True or false
True.
Regarding the tx of Hep C: Interferon is a protein the body makes to fight viral infections. It protects healthy cells & increases immune response.
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True or False Treatment of Hep C is sucessful when no Hep C antibody and no vial load exist.
Term Definition
True.
True or False In treating Hep C, if HCV-RNA blood levels fall with the first dose of interferon and is zero by one month of tx the pt is curable.
Term Definition
True
CT liver (or u/s) LFTs PT/PTT Hep C viral load Alpha Feto Protien
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Definition
Flulike symptoms NO TYLENOL/NSAIDS/ETOH medicate for discomfort with oxycodone beware of suicide attempts causes fatigue and sleep disturbance.
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Regarding Hep C, Is it true that Ribavirin is an antiviral drug which cannot eleliminate HCV by itself but when combined with interferon it doubles its efficacy?
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Yes
Evalute the following Hep B panel results & explain its meaning to the pt.:
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True or False In treating Hep C, using the cobonation of Ribavirin and Interferon results in twice the effeciveness.
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