HEPATITIS-B

HEPATITIS-B

1. Liver

   • Inflammation to liver
     • Liver cell destruction
       • Necrosis of Liver acini Cells
         • Liver Enlargement
           • Mononuclear infiltrates
             • Autolysis
               • anorexia, nausea, vomiting, urticaria,rashes, arthralgias
             • Decrease ability to remove toxins from bloodstream
               • Increased bilirubin levels
                 • Darkened urine, Jaundice
                   • Scarring of liver
                     • Cutaneous
                       • Jaundice , Rashes
                         • Rashes
                       • Hematology
                         • CNS
                           • Encephalopathy
                             • Myelitis
                               • Encephalomyelitis
                                 • Cognitive Impairment
                           • Cardiopulmonary
                             • Constitutional
                               • Fever
                                 • Fatigue
                             • Heart Failure
                               • Cardiomyopathy
                                 • COPD
                                   • Asthma
                         • Leukopenia
                           • Anemia
                             • Bleeding Problems
                       • GI
                         • Abdominal pain
                           • Nausea and vomiting
                             • Loss of Appetite
                               • Diarrhea
                                 • Internal Bleeding
                         • Musculoskeletal
                           • weakness
                             • Joint pain
                               • Arthritis
                                 • Osteoporosis
                                   • Muscle Soreness
                           • Renal
                             • Glomerulonephritis
                               • Darkened Urine
                                 • Mild/severe proteinuria
                                   • Polyarteritis Nodosa
                                     • Mesangial Proliferative
                                       • Glomerulonephritis (MesPGN)
                                         • Nursing Management Health Teachings and Interventions
                                           • Pharmacological Intervention
                                             • Medical - Surgical Intervention
                     • Laboratory/ Diagnostic Studies
   • Physiology of the liver
     • Blood Reservoir
       • recieves dual blood supply from portal vein and hepatic artery
     • metabolism
       • Glucose regulation-fatty acid synthesis- transamination
     • detoxification
       • removal of ammonia and drugs
     • storage site
       • Vitamin A - Vitamin B12 - Iron
   • Anatomy Of Liver
     • Hepatobiliary System

2. Viral Infection of the Liver

   • Epidemiology
     • A
       • Developing countries with poor sanitary condition and hygienic practice
     • B
       • Western Pacific Region and the WHO African Region
     • C
       • Eastern Mediterranean and European Region
     • D
       • Mediterranean, Middle East, Pakistan, Central and North Asian, Japan
     • E
       • Resource - poor areas with Frequent water contamination - Areas with safe drinking water supplies
   • Predisposing Factors
   • Precipitating Factors

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