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A 21 year old student from Big City University presents to your clinic, with complaints of nausea, vomiting, diarrhea and anorexia. On physical exam, it was noted that they had a low grade fever, showed jaundice, and indicated some tenderness when palpated in the right upper quadrant of the abdomen. The patient has recently returned from spring break in Mexico, admitting to drinking 8-10 beers per day, and eating food from the street vender’s carts. Laboratory Data Test Patient Value Reference Interval ALT 358 U/L 7-56 U/L ALP 85 U/L 30-115 U/L AST 315 U/L 8-35 U/L Total Bilirubin 3.5 mg/dL 0.2-1.0 mg/dL Albumin 3.8 mg/dL 3.5-5.5 mg/dL HbSAg Negative Negative Anti HAV IgM Positive Negative
SCIENCE
HEALTH SCIENCE
NURSING

 
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