Liver hepatitis Cases
Woman comes to ER because of a 3-day history of dark urine, pale stool, fever, fatigue, and itchiness. she does not use illicit drugs. she has been sexually active with the same partner for 12 years and uses condoms consistently - she works as flight attendant for an international airline examination shows scleral icterus & excoriation marks over her extremetities the liver tender on palpation. laboratory studies show elevated liver enzyme
Anti-HAV igM antibodies - symptoms and signs due to manifestation of antibodies.
A woman complains of myalgia, mild fever, itching, abdominal pain, and nausea. she attended the state fair over a month ago, where she tried several regional foods, and wonders if it might have been caused by something she ate. she works as nursing assistant in rehabilitation facilitity
Positive HBsAg HBEAG HAVIGG ANTI HBC IGG NEGATIVE HAV- IGM ANTI HCV
Active chronic hepatitis B Infection
A 28-year-old primigravid woman is brought to the er FOR LETHARGY, NAUSEA, VOMITING FOR 4 days - this morning she became drowsy she returned from sudan 3 weeks ago. she says she did not eat any seafood while traveling. her immunization are up to date and she has never recieved blood products. examination shows jaundice and mild astrixis laboratory studies show increased prothrombin time and elevated liver enzyme
Anti-HEV igM due to high incrased liver enzyme + Pregnant
A man who works as a nurse, comes to the physician because two days ago he had a needlestick injury from a patient whose serology is positive for hepatitis B. he ocmpleted the 3-dose regimen of the hepatitis B vacine during childhood. serum studies show negative results for hepatitis b surface antigen and hepatitits b surface antibody
HBV immunoglubulin + 3 doses of HBV vaccine
A pregnant woman at 32 weeks gestation comes to the physician for a prenatal visit. she cannot recall all her vaccination
- positive anti-hbs >10
- negative hbsag - anti hbc igm hbc igg
No further examination
A man presents for a routine health chekcup he reports alcohol consumption but denies taking any medications over the counter drugs. abdominal US is unremarkable laboratory results show increased liver enzyme levels
Positive anti HCV antiboeies Negative: HBs Ag, Anti-HBs antibodies, Anti-HBc antibodies
Check RNA hcv VIRAL LOAD - aNTIBODIES ANTI-HCV may not be the best indicator
Which of the following is associated with chronic HCV infection
- Glomerulonephritis
- aUTOIMMUNE THYROIDITIS
- mISXED cRYOGLOBULINEMIA
- sJORGEN sYNDROME
- All of the above + B cell lymphoma + many other autoimmune disease.
Which of the following most common way of HCV transmission by blood
HBV Genome is composed of Ds DNA
Most probably outcome of HBV infection in infancy
- Chronic infection
Which of thee hepatitis virus infection can be prevented by a non-conjugated envelope glycoprotein?
- HBV
Which of these patients have highest risk of chronicity for HEV infection?
- Immunocompromised = Filliment