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Medicine (MD/DO)
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First Aid
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First Aid for the USMLE Step 1 (2021)
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Page 204 -

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First Aid for the USMLE Step 1 (2021) | Medicine (MD/DO) School Study Aid

Page 204 -
5 Picmonics to Learn | 9 mins
Hepatitis C
Characteristics
Enveloped
RNA Virus
Flavivirus
Icosahedral
SS positive Linear
Clinical Features
Most Cases are Due to IV Drug Use
Turns to Chronic Hepatitis in Over 70% of Cases
Cirrhosis
Hepatocellular Carcinoma
Most Common Indication for Liver Transplantation
Associated With Type I MPGN
Porphyria Cutanea Tarda
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2 mins
Hepatitis C (HCV) Assessment
Transmission
Blood Transmission
High Risk Sex (rare)
IV Drug Users
Incubation
7 Weeks
Chronic Disease
Cirrhosis
Considerations
Barrier Protection
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2 mins
Ribavirin
Mechanism
Hypermutation in RNA Viruses
Inhibits Inosine Monophosphate Dehydrogenase
Indications
Hepatitis C
Viral Hemorrhagic Fevers
Respiratory Syncytial Virus (RSV)
Side Effects
Hemolytic Anemia
Teratogen
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1 min
Aseptic Technique
Invasive Procedures
Skin Integrity Broken
Sterility
Hands Up for Scrubbing
Keep Objects in View
Only Sterile Objects in Field
Only Sterile Touches Sterile
Contamination
Edges of Sterile Field
If Sterility Questioned
If Wet or Prolonged Exposure to Air
Considerations
Never Leave Sterile Area
PPE Order
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2 mins
Hepatitis C Pharmacotherapy
NS3/4A Inhibitors
Glecaprevir
Grazoprevir
Simeprevir
NS5A Inhibitors
Ledipasvir
Elbasvir
Velpatasvir
NS5B Inhibitors
Sofosbuvir
RNA Polymerase Inhibitor
Ribavirin
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2 mins

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