hepatitis
inflammation of liver due to viral invasion is called viral hepatitis ..
Etiology
} type [A] virus
} type [b] virus
}type [c] virus [ non A NOn B virus]
} type [d] virus
} type [e] virus
} cytomegalo virus
} epstain bar EB virus
types of hepatitis
common types of hepatitis are following
} hepatitis A [HAV ] due ti invasion of hepatitis A virus
} hepatitis B [HBV } due to invasion of hepatitis b virus
} hepatitis C [HCV] due to invasion of hepatitis c virus
incubation period
A is 15 to 45 dayas
B is 30 to 120 days
c is more then 2 month
mode of spread
} hepatitis A spread through oro faeacal route
} HEPATITIS B spread through blood transfusion
} hepatitis C spread through is blood transfusion
signs and symptom
} frist few day patient has flu like symptom
} fever
} malaisa
} Aches /pain
} chills
} anorexia
} distasts specially cigarate
} nausia and vomiting
} discomfort /pain in R>H>C
} indigestion
} diarrhoia
} mild jaundice
} hepatomegaly
} tender R>H>C
} spelenomegaly
} clay coloured stool
] dark colorured urine
} abdominal discomfort
] aneamia
} After 1,2 weeks the signs of improvement appear
} withen 3 to 6 weeks most patient become alright
diagnosis
} L F Ts
} complete blood count with ESR
|} URINE FOR bile salt /pegments
} prothrombin time test [ptt] N> V 11 15 second
} A IGM IGg antibodies
] HBS
} HCV
} abdominal U/S
} endoscopy
} liver scan chronic case
} liver biopsy if needed
} stool r/e
] PCR
treatment
there is no specific therapy
general measures are carried out
bed rest as for as symptom are marked
patient are encouraged to eat any diet
juices and glucose should be taken
i v drip in case of sever anorexia and vomiting
vitiman e should be start
avoid smoking and alcohlisim
treat hypoglycaemia
treat electrolyte imbalancy
trat bleeding problims i f present
