Hepatitis A

• Facts:
  RNA picornavirus with an average incubation period of 30 days
  Transmission occurs via fecal-oral route
  Self-imiting disease, does not progress to chronic hepatitis , cirrhosis , or HCC
• History / PE:
  Acute onset
  Malaise, fatigue, anorexia, nausea
  Hepatomegaly
• Diagnosis:
  AST/ALT spike early on, followed by increases in bilirubin and alkaline phosphatase
• Treatment:
  Supportive
  Full recovery expected within 3-6 weeks
• See Also:
  Hepatitis
• Associated With:
  Overcrowding and poor sanitary conditions
  Recent travel to underdeveloped country