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Hepatitis
Was prepared by:
Bisan Rjoub
Introduction

• defined by the inflammation of the liver.

• The condition can be self-limiting (healing
  on its own)
• or can progress to fibrosis (scarring)
  and cirrhosis.


                 cirrhosis
• Hepatitis is acute when it lasts less than
  six months and chronic when it persists
  longer.
• A group of viruses known as the
  hepatitis viruses cause most cases.
• but it can also be due to toxins
  (e.g: alcohol), certain medications,
  some industrial organic
  solvents and autoimmune diseases.
• Introduction
• Signs and symptoms
• Diagnosis
• Treatment
Introduction

• caused by the hepatitis B virus (HBV)
  Originally known as "serum hepatitis"
• About a third of the world population has
  been infected at one point in their lives
• The virus is transmitted by exposure to
  infectious blood or body fluids such as
  semen and vaginal fluids
• while viral DNA has been detected in the
  saliva, tears, and urine of chronic carriers.




• cannot be spread by holding
  hands, sharing eating utensils or drinking
  glasses, coughing, sneezing, or
Signs and symptoms
• The acute illness causes liver
  inflammation, vomiting , jaundice and,
  rarely, death.
• Chronic hepatitis B may eventually
  cause cirrhosis and liver cancer




                  hepatoma
• Ground glass hepatocytes as seen in a
  chronic hepatitis B. Liver biopsy. H&E
  stain.
Diagnosis
I. Blood tests to detect hepatitis B
   infection, include:

1. The hepatitis B surface
   antigen (HBsAg) test:
positive for this antigen
means have an active hepatitis B infection
   and can easily pass the virus to others.
2. The antibody to hepatitis B surface
   antigen (anti-HBs) test:
    positive: means can't infect others or
   become infected because patient're
   protected by the vaccine or own natural
   immunity.
3. The antibody to hepatitis B core antigen
   (anti-HBc) test:
    positive: may have a chronic infection
   that can transmit to others.
II. Additional tests to gauge liver health
    and infection severity ,include:

1. The E antigen blood test:
    positive: means have high levels of the
   virus in the blood and can easily infect
   others.
2. The hepatitis B DNA test:
    indicating how much virus is present
   (viral load).
3. Liver function tests:
   may gauge the amount of damage that
   has occurred in the liver cells.

III.Removing a sample of liver tissue for
 testing :
    During a liver biopsy, doctor inserts a
   thin needle through the skin and into the
   liver . show the extent of any liver
   damage.
Liver biopsy
Treatment

I. Treatment to prevent hepatitis B
   infection after exposure :
   Receiving an injection of hepatitis B
   immune globulin within 24 hours of
   coming in contact with the virus may
   help protect from developing hepatitis B.
II. Treatment for acute hepatitis B
    infection :
    not need treatment. Instead, doctor
    will work to reduce any signs and
    symptoms you experience while your
    body fights the infection.

III.Treatment for chronic hepatitis
   B infection :

1. Antiviral medications
1. Liver transplant.
Hepatitis2

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Hepatitis2

  • 2. Introduction • defined by the inflammation of the liver. • The condition can be self-limiting (healing on its own) • or can progress to fibrosis (scarring) and cirrhosis. cirrhosis
  • 3. • Hepatitis is acute when it lasts less than six months and chronic when it persists longer. • A group of viruses known as the hepatitis viruses cause most cases. • but it can also be due to toxins (e.g: alcohol), certain medications, some industrial organic solvents and autoimmune diseases.
  • 4. • Introduction • Signs and symptoms • Diagnosis • Treatment
  • 5. Introduction • caused by the hepatitis B virus (HBV) Originally known as "serum hepatitis" • About a third of the world population has been infected at one point in their lives • The virus is transmitted by exposure to infectious blood or body fluids such as semen and vaginal fluids
  • 6. • while viral DNA has been detected in the saliva, tears, and urine of chronic carriers. • cannot be spread by holding hands, sharing eating utensils or drinking glasses, coughing, sneezing, or
  • 7. Signs and symptoms • The acute illness causes liver inflammation, vomiting , jaundice and, rarely, death. • Chronic hepatitis B may eventually cause cirrhosis and liver cancer hepatoma
  • 8. • Ground glass hepatocytes as seen in a chronic hepatitis B. Liver biopsy. H&E stain.
  • 9. Diagnosis I. Blood tests to detect hepatitis B infection, include: 1. The hepatitis B surface antigen (HBsAg) test: positive for this antigen means have an active hepatitis B infection and can easily pass the virus to others.
  • 10. 2. The antibody to hepatitis B surface antigen (anti-HBs) test: positive: means can't infect others or become infected because patient're protected by the vaccine or own natural immunity. 3. The antibody to hepatitis B core antigen (anti-HBc) test: positive: may have a chronic infection that can transmit to others.
  • 11. II. Additional tests to gauge liver health and infection severity ,include: 1. The E antigen blood test: positive: means have high levels of the virus in the blood and can easily infect others. 2. The hepatitis B DNA test: indicating how much virus is present (viral load).
  • 12. 3. Liver function tests: may gauge the amount of damage that has occurred in the liver cells. III.Removing a sample of liver tissue for testing : During a liver biopsy, doctor inserts a thin needle through the skin and into the liver . show the extent of any liver damage.
  • 14. Treatment I. Treatment to prevent hepatitis B infection after exposure : Receiving an injection of hepatitis B immune globulin within 24 hours of coming in contact with the virus may help protect from developing hepatitis B.
  • 15. II. Treatment for acute hepatitis B infection : not need treatment. Instead, doctor will work to reduce any signs and symptoms you experience while your body fights the infection. III.Treatment for chronic hepatitis B infection : 1. Antiviral medications