What's the Dx?
6 y/o F develops fever, nausea, and jaundice one month after returning from summer camp where several children had similar symptoms. Labs show elevated AST and ALT. The disease is self-limited and does not cause chronic infection.
What is hepatitis A?
HBsAg (+)
HBeAg (+)
anti-HBc IgM (+)
anti-Hbs (-)
What is acute hepatitis B?
Complication of Hepatitis E infection in preganancy
fulminant hepatic failure
Ischemic hepatitis
What is hemodynamic support and cardiac output optimization?
36 y/o M w/ 2 week hx of RUQ tenderness, scleral icterus, nausea, decreased appetite.
AST: 150
ALT: 65
GGT: 80
MCV: 110
What is alcohol-associated hepatitis?
Anti-HAV IgM: +
Anti-HAV IgG: -
HBsAg: -
Anti-HBs: +
HBcAg: -
Anti-HBc: -
What is acute Hepatitis A and previous Hepatitis B vaccination?
Complication of Hepatitis D superinfection with chronic Hepatitis B
What is liver cirrhosis and HCC?
Hepatitis D
What is prevention via Hep B vaccine?
50 y/o W with fatigue over the past 6 months and a 5-kg (11-lb) weight loss. She has a history of Hashimoto thyroiditis. PE shows RUQ tenderness. ALT: 990, AST: 850, Total bilirubin 1.1. Liver bx shows plasma cell infiltration and periportal peacemeal necrosis
What is autoimmune hepatitis?
HBsAg (-)
anti-HBs (+)
anti-HBc IgG (+)
What is resolved natural hepatitis B?
Prognosis of Hepatitis A
What is self-resolving/self-limited?
Newborn delivered to an HbsAg (+) mother.
What is HBV vaccine and Hepatitis B Ig within 12 hours of birth?
A patient with chronic hepatitis B suddenly develops worsening worsening jaundice and markedly elevated liver enzymes. testing reveals a defective RNA virus.
What is hepatitis D?
Anti-LKM-1: +
ANA: -
ASMA: -
What is Autoimmune hepatitis type 2?
Prognosis of Ischemic hepatitis
What is reversible if shock is corrected?
Autoimmune hepatitis type 1 and 2
prednisone +/- azathioprine
A patient presents with acute hepatitis after eating contaminated food. Another patient develops fulminant hepatic failure during the third trimester of pregnancy after consuming contaminated water. Name both diagnosis
What are hepatitis A and hepatitis E?
AST 4,500, ALT 5,000
90/60 mmhg
Viral serologies (-)
ANA, anti smooth muscle antibodies, anti-LKM (-)
What is ischemic hepatitis?
Complication of Hepatitis C
What is liver cirrhosis, HCC, cryoglobinemia?
This intervention is indicated for fulminant liver failure due to viral hepatitis, severe autoimmune hepatitis, end-stage alcohol related cirrhosis, or decompensated chronic hepatitis
What is liver transplantation?