A 54-year-old man presents to the clinic with scleral icterus, hepatosplenomegaly, ascites, and a history of episodes of jaundice over the past 3 year

Subject
Medicine
System
Gastrointestinal & Nutrition, Infectious Diseases

Kathryn

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Jul 29, 2020
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Singapore
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A 54-year-old man presents to the clinic with scleral icterus, hepatosplenomegaly, ascites, and a history of episodes of jaundice over the past 3 years. He was involved in an auto accident when he was 21 years old, for which he required surgery and blood transfusions. Laboratory tests show:
Aspartate aminotransferase: 734 U/L
Alanine aminotransferase: 846 U/L
Direct bilirubin: 0.1 mg/dL
Indirect bilirubin: 7.6 mg/dL
Assuming a viral etiology, which of the following is the most likely cause of this patient’s illness?

(A) Hepatitis A
(B) Hepatitis C
(C) Hepatitis D
(D) Hepatitis E
(E) Hepatitis G
 
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