Gastroenterology & Hepatology — Flashcards

Flashcard 531: Hepatitis A presents with _____ pain

Answer: RUQ

Flashcard 532: If a case of hepatitis B is suspected then _____

Answer: notify public health

Flashcard 533: Hepatitis B serology: HbsAg _____ Anti-HBs +ve Anti-HBc +ve = previous infection

Answer: -ve

Flashcard 534: When monitoring chronic hepatitis B do LFTs every _____ & hepatic US every 6 months

Answer: 6 months

Flashcard 535: What initial investigations should be done for hepatitis B? _____

Answer: Hepatitis B serology, LFTs, & ultrasound

Flashcard 536: What is the mainstay management of _____ Hepatitis B? Answer: Symptomatic/Supportive treatment

Answer: Acute

Extra: Management of Hepatitis B: 1. **Acute Hep B:** Supportive care (mainstay). Recovery occurs in >95% of immunocompetent adults. Antivirals are rarely indicated unless the case is fulminant. 2. **Chronic Hep B:** Antiviral therapy (e.g., Tenofovir, Entecavir) if criteria (ALT levels, DNA load) are met. 3. **Hospitalization:** Indicated if there is evidence of liver failure (raised INR, encephalopathy) or severe dehydration.

Flashcard 537: Hepatitis B serology: HbsAg _____ Anti-HBs -ve Anti-HBc IgM +ve = Acute Hepatitis B

Answer: +ve

Flashcard 538: What initial investigations should be done for hepatitis A? _____

Answer: Hepatitis A serology (IgM anti-HAV) & LFTs

Extra: Hepatitis A is transmitted via the fecal-oral route. Diagnosis is confirmed by the presence of IgM anti-HAV. IgG anti-HAV indicates immunity (past infection or vaccination).

Flashcard 539: Hepatitis A icteric phase lasts _____ & presents with jaundice, cholestasis & ± pruritus

Answer: 2 weeks

Flashcard 540: What is the mainstay management of Hepatitis A? _____

Answer: Symptomatic treatment Admit to hospital if necessary