Hepatitis A - Inflammation of the liver

Etiology

Poor sanitation

Overcrowding

Management

Immunoglobulins (passive immunity

Fecal/ Oral route

Educations: hygiene, community sanitation improvement

Assesment

S/s

Flu like

anorexia

weight loss

Small frequent feedings

Dark urine

Jaundice (anecteric)

Labs

Antibodies

Vaccine (prevention)

Hep B

Etiolgoy

Percutaneous and Permucosa route

Hemodyalsis

Homosexual/Bisexual

IV drug users

Mother-Child during delivery

Multiple sexual partners

Tattooes

Management

Vaccine (prevention)

Three doses

Immuneglobulin (passive immunity)

Assesment

S/s

Arthralgia

tender/enlarged liver

spleen enlarged

Blood work

surface antigen on cell

HBsAg

when present this causes inflammatory response

loss appetitie

jaundice

posteric cervical lymphnodes enlarged

antigen inside the cell

HBcAg

marker of active replication

anti-HBc

anti-HBs

antibody levels

Antiviral

Bed rest

Diet

  • vir

Alpha-interferon

Manage GI symp (f&e electrolyte)

BMR biologic modifier

modifies de immune system response to the virus

5 million U or 10 million U

antacid

antiemetic

Hep C

etiology

health professional

IV drug users

Management

Interferon

antiviral

rest/diet

no alcohol

no alcohol