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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do These Following Lab Reports Indicate?

This 48-year-old man had complained of abdominal pain and intermittent fever for 3 months. The pain was usually felt in the right upper quadrant. His appetite was not good and lost his body weight apparently. He once suffered from hepatitis ten years ago. Physical examination revealed the patient who appeared chronically ill with icteric selera. The liver was enlarged to 2 cm below the costal margin with tenderness, and the spleen was enlarged to 3 cm below costal margin . Laboratory data: Hb 90g /L, WBC 8.0×109/L, PC 90×109/L, ALT 120U/L, AST 200U/L,ALP 255U/L, TP 55g/L, A 25g/L, Y 40%, TBI 55umol/L, DBI 38umol/L, URO (++), UBI (+),AFP 600ug/L, HBsAg (+), HBeAg (+), anti-HBc IgM (+) Question: What is your diagnosis for this patient? Which kind of jaundice this patient has? How to do you evaluate this patients liver function? What is etiological classification for his hepatitis?
Thu, 20 Aug 2015
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General & Family Physician,  's  Response
History is needed on patient's occupation. Was there any past history of blood transfusion?? His behavioural history in terms of multiple sexual partners is also needed.
The investigations indicate towards viral hepatitis. Presence of HBsAg indicate that the patient is infectied with Hepatitis B and has chronic infection (for the past 3 months). Presence of HBeAg indicates that he is infective and can spread disease to others. anti HBc IgM indicates recent infection with Hepatitis C.
Therefore the patient has chronic Hepatitis B and acute Hepatits C infection.
Liver function tests are done for this patient.
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What Do These Following Lab Reports Indicate?

History is needed on patient s occupation. Was there any past history of blood transfusion?? His behavioural history in terms of multiple sexual partners is also needed. The investigations indicate towards viral hepatitis. Presence of HBsAg indicate that the patient is infectied with Hepatitis B and has chronic infection (for the past 3 months). Presence of HBeAg indicates that he is infective and can spread disease to others. anti HBc IgM indicates recent infection with Hepatitis C. Therefore the patient has chronic Hepatitis B and acute Hepatits C infection. Liver function tests are done for this patient.