NSG 533 EXAM 2 MODULE 5
Hepatitis A: What to obtain for patient history
history of blood transfusion
msm
poor sanitation
travel to developing nations (contaminated food or water!)
exposure to an infected person
family history
True / False most cases of Hep A are symptomatic
TRUE
What cases of hep a are not symptomatic?
children under 6 years old (70% are symptomatic)
What are some clinical presentations for Hep A?
flu-like symptoms
fever
fatigue
loss of appetite
N/V/D
abd pain
dark urine
CLAY COLORED STOOLS
joint pain
,jaundice: cholestasis, hyperbilirubinemia
--Decreased albumin and prolonged PT--
Hepatitis B: What to obtain for patient history
75% positive cases in Asia
Hemodialysis
Multiple blood transfusions (esp internationally)
use of immunosuppressive drugs
Perinatal - HEP B status of pregnant mothers
multiple sex partners
household infection of HBV
occupational exposure
IVDU
Nosocomial
Is Hep B acute or chronic?
BOTH! Can be acute or chronic
What to look for (history) in acute Hep b infection?
exposure with infected blood or fluid within the past few months
What to look for (history) in chronic Hep B infection?
history of risk factors, serologic testing (+) for 6 months
Clinical Presentations of ACUTE Hep B
, FLU LIKE SYMPTOMS
general illness
anorexia
N/V
body aches
mild fever
dark urine
jaundice
Clinical presentations for chronic Hep B
CAN BE ASYMPTOMATIC
Prodromal period: mild symptoms appear
RUQ pain 2/2 hepatomegaly
fatigue
joint pain
Physical findings with HEP B?
hepatosplenomegaly
spider veins
jaundice
ascites
peripheral edema
How long is prodromal period of Hep B?
1-4 months
What is serum sickness in Hep B?
Hepatitis A: What to obtain for patient history
history of blood transfusion
msm
poor sanitation
travel to developing nations (contaminated food or water!)
exposure to an infected person
family history
True / False most cases of Hep A are symptomatic
TRUE
What cases of hep a are not symptomatic?
children under 6 years old (70% are symptomatic)
What are some clinical presentations for Hep A?
flu-like symptoms
fever
fatigue
loss of appetite
N/V/D
abd pain
dark urine
CLAY COLORED STOOLS
joint pain
,jaundice: cholestasis, hyperbilirubinemia
--Decreased albumin and prolonged PT--
Hepatitis B: What to obtain for patient history
75% positive cases in Asia
Hemodialysis
Multiple blood transfusions (esp internationally)
use of immunosuppressive drugs
Perinatal - HEP B status of pregnant mothers
multiple sex partners
household infection of HBV
occupational exposure
IVDU
Nosocomial
Is Hep B acute or chronic?
BOTH! Can be acute or chronic
What to look for (history) in acute Hep b infection?
exposure with infected blood or fluid within the past few months
What to look for (history) in chronic Hep B infection?
history of risk factors, serologic testing (+) for 6 months
Clinical Presentations of ACUTE Hep B
, FLU LIKE SYMPTOMS
general illness
anorexia
N/V
body aches
mild fever
dark urine
jaundice
Clinical presentations for chronic Hep B
CAN BE ASYMPTOMATIC
Prodromal period: mild symptoms appear
RUQ pain 2/2 hepatomegaly
fatigue
joint pain
Physical findings with HEP B?
hepatosplenomegaly
spider veins
jaundice
ascites
peripheral edema
How long is prodromal period of Hep B?
1-4 months
What is serum sickness in Hep B?
