Case Study 2 Tom N A 60 Year Old Man Came Into The Er Complaining Of Fatigue And Overall Hulike Symptoms He Was Mildly 1 (47.99 KiB) Viewed 70 times
Case Study 2 Tom N A 60 Year Old Man Came Into The Er Complaining Of Fatigue And Overall Hulike Symptoms He Was Mildly 2 (20.24 KiB) Viewed 70 times
Case Study 2 Tom N. a 60 year-old man came into the ER complaining of fatigue and overall Hulike symptoms. He was mildly jaundiced with icteric sclera. His liver profile results are shown in Table : Table 1: LIVER PROFILE Tests Results Reference Range Bilirubin, total 2.2 0,2-1.2 mg/dL. Bilirubin, direct 1.19 0.00-0.40 mg/dL AST 56 5-10 IU/L ALP S0-157 IU/L ALT 373 5-10 IU/L Albumin 2.1 3.5-5.0 g/dL Total Protein 7.1 6.0-8.4 g/L Ammonia 32 20-80 ug/L Folic Acid 17.8 2.9-15.6 ng/dL Vitamin B. 877 180-710 pg/ml 202 HEPATITIS SERUM PANEL: IgM anti-HAV: Nonreactive HBsAg Nonreactive IgM anti-HBC: Nonreactive Anti-HCV: Reactive 1- List the abnormal results in Table 1. 2- What organ system is involved?
3- List six probable explanations for this chemistry profile from table 1 4- What is the most likely diagnosis for this patient? 5- List five main etiologic factors (causes) for this infection. 6- Describe the pathogenesis (What happens). 7- How can the physician differentiate between acute and chronic forms of this infection?
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