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Hepatitis
| Question | Answer |
|---|---|
| hepatitis | widespread inflammation of the liver cells; impedes the processes or functions of the liver; generally results from underlying infectious agent or virus |
| other causes of hepatitis | autoimmune disorder, drug or alcohol abuse, exposure to industrial chemicals, nonalcoholic fatty liver disease |
| the metabolism of nutrients , drugs, alcohol, and toxins and the process of bile elimination are | disrupted by the inflammation of hepatitis |
| Viral Hepatitis 3 most common classifications | HBV, HAV, HCV |
| Hepatitis A (HAV) | fecal oral route, infected individual handling food, |
| Hepatitis B (HBV) | unprotected sex, sharing needles or toothbrushes, needle sticks, blood transfusions before 1992 (blood, body fluids) |
| Hepatitis C (HCV) | sharing needles, tattoos, blood transfusion before 1992, needle sticks (blood) |
| viral hepatitis | can be acute or chronic |
| HAB and HBV are declining | because of vaccines |
| HCV | most common because there is no vaccine |
| Hepatitis A reccomendations | proper handwashing (especially after handling shellfish), avoid contaminated food and water |
| Assessment : noticing | ask about exposure to hepatitis, chemical exposure; alcohol, drug, herbal use; travel, sexual activities, needlestick exposure, drug (IV) use, military service; family hx of liver disease |
| Physical assessment ;signs and symptoms | abdominal pain, arthralgia or myalgia, diarrhea/constipations, changes in color of urine or stool, fever, lethargy, malaise, N/V, pruritis |
| Labs | Liver enzymes (AST, ALT,); blood tests specific to hepatitis type, liver biopsy |