Pathologie (Fach) / Leber (Lektion)
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Viral hepatitis
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5 types: - Hepatitis A: Contaminated water; travelers- Hepatitis E: Undercooked seafood, water, fulminant in pregnant women- Hepatitis C: Childbirth, sex, drug-users; chronic; diagnose with RNA level- Hepatitis B: Childbirth, sex, drug-user; chronic in 20% but increased in children; associated with HCC- Hepatitis D: Can only infect if host has HBV
Symptoms:- Fever, malaise, nausea- Hepatomegaly, pain- Jaundice
Hepatocytes undergoing apoptosis = Councilman bodies
Diagnosis:- ALT > AST, ↑ unconjugated and conjugated bilirubin → brown urine (urobilinogen)- Atypical lymphocytosis (large from antigen stimulation)
If it lasts longer than 6 months → chronic
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