Hepatitis A

Question 1

What is Hep A (Falco-Oral spread)

Answer 1

ACUTE Liver inflammation caused by picoRNAvirus and shellfish

Question 2

What are the associations/RF of Hep A

Answer 2

Travel Hx (Africa)
Shellfish
Overcrowding and poor sanitation

Question 3

How does Hep A act in the body

Answer 3

Icubation = 2 weeks
-Liver replication and bile excretion
Self limiting <6 weeks

Question 4

Hep A is a notifiable disease, Who should be notified

Answer 4

Public health England

Question 5

What are the presentations of Hep A

Answer 5

Prodromal = Malaise, N+V and fever
Later = Jaundice, Dark urine and pale stools

Question 6

How is Hep A investigated

Answer 6

Bloods

• FBC = Raised ESR and Leukopenia
• LFT = Raised Bilirubin
• HAV Serology = HAV IgM shows Acute

Question 7

How is Hep A treated

Answer 7

Supportive (Travel Vaccine)

Question 8

What is a possible complication fo Hep A

Answer 8

Fulminant Liver Fail

Question 9

In what 2 types of hepatitis is there full immunity after first infection and spread FO

Answer 9

A and E