2What is it?Hepatitis C is a disease caused by a virus that infects the liver
3Symptoms Most people have no symptoms when they are first infected For that reason, from the million Americans living with viral HCV, as many as 75% are unaware that they are infected.
4Symptoms Fatigue Belly pain Fever Itchy skin Nausea or poor appetite Sore musclesDark urineTenderness of area around the liverYellowish eyes and skin (jaundice)Joint pain
5Symptom checker (1)FeverFatigueSore musclesYellowing eyes and skinTender Liver areaAbdominal painItchy skinDark UrineJoint painThe patient will click on the symptoms that apply and the words will turn red. This will allow the patient to track symptoms on a daily basis, or even to see the effects that Hep C has on his/her life at the beginning of the treatment.
6Symptom checker (2) Itchy Skin Sore Muscles Stomach pain Jaundice Joint painDark UrineTirednessAnother option is to have the pictures in a tile setting with a box for the patient to check off his or her symptoms. These symptoms will then be registered in the database.Symptom checker (2)
7How is it spread?Spread from person to person when the blood of someone infected with the virus mixes with the blood of someone else
8Causes Blood transfusions and organ transplants before 1992 Shared needlesChildbirthSexual contact
9Risk factorsRisk factors do not mean that you have Hepatitis C, but do indicate a greater risk of infectionIf you have one or more of the symptoms, you should get tested
10Donated bloodBefore 1992, donated blood products and blood could not be tested for Hepatitis CSome people where accidentally infected after surgeries and other medical procedures
11Baby boomersBornCould’ve been exposed to HCV when infection rates were higher in 70s and 80s
12Drug use Infected by sharing tools to take drugs Previously used: needles, syringes, cotton, water, or cocaine straws
13Sex Rough, or anal sex without a condom Any activity with blood to blood contact is a risk factor
14Tools Sharing tattoo, piercing, or acupuncture needles Manicure and pedicure toolsThose working in a medical setting may be cut and exposed to the virusMust be cleaned and disinfected
15Others Received hemodialysis treatments for a long period of time Received clotting factor concentrates before 1987Have HIV
20Functions of the liverManufacturing blood proteins that aid in clotting, oxygen transport, and immune system functionStoring excess nutrients and returning some of the nutrients to the bloodstreamManufacturing bile, a substance needed to help digest food
21Helping the body store sugar (glucose) in the form of glycogen Ridding the body of harmful substances in the bloodstream, including drugs and alcoholBreaking down saturated fat and producing cholesterol
22What is cirrhosis?A slowly progressing disease in which healthy liver tissue is replaced with scar tissue, eventually preventing the liver from functioning properly
23ImplicationsThe scar tissue blocks the flow of blood through the liver and slows the processing of nutrients, hormones, drugs, and naturally produced toxins
26Symptoms of cirrhosis Red palms due to expanded vessels Spider veins near the chest, shoulders, and faceSwelling of the belly, legs, and feetShrinking of the musclesBleeding from enlarged veins in your digestive system
35Liver failureOccurs when large parts of the liver become damaged beyond repair and the liver is no longer able to functionlife-threatening
36How can hcV be diagnosed? Blood tests help to:Determine whether you have HCVMeasure the quantity of HepC in your blood (viral load)Evaluate the genetic makeup of the virus (genotyping), which helps determine treatment options
37A liver biopsy can help determine the severity of the disease and guide treatment decisions. During the biopsy, a needle is injected through your skin, into your liver, and a tissue sample is removed.
38No treatment for acute HCV Treatment isn’t always necessaryif you only have slight liver abnormalities, you may not need treatment, because your risk of future liver problems is very low.
39Treatment for Chronic HCV Combination antiviral therapyLiver transplantVaccinations to protect against other forms of viral hepatitis
40Antiviral medications Peginterferon and ribivirin are combined to give the best response to treatment.A protease inhibitor (such as boceprevir or telaprevir) may be given alongside these meidcations.
41Peginterferon is given as a shot once a week. Ribavirin is taken as a pill 2 times a day.
42APP: Treatment scrolling Treatment OptionFor the treatments, I would like to have a rotating wheel where the patient can click on the option they prefer, then see the procedure, length of treatment, side effects, etc. With this option, the patient can navigate from left to right to find the best solution for him/her. However, the app recommendation will be highlighted in green.
43The length of the treatment depends on what hepatitis C genotype you have. Genotype 1: 1 yearGenotype 2/3: 6 months
44Liver transplantThe surgeon removes your damaged liver and replaces it with a healthy liverMost transplants come from deceased donorsThis is not a cureAntiviral treatment often follows
45Lifestyle remedies Stop drinking alcohol Avoid medications that cause liver damageStay healthyHelp prevent others from coming in contact with your blood
46Milk thistle: alternative medicine May treat jaundice and other liver disordersTaken as a capsule, extract, or infusion