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Ken is 35 years old and has been homeless for the past 5 years. He presents complaining of flu-like symptoms and abdominal pain. He has multiple tattoos and piercings and admits to IV drug use and unprotected sexual behavior with multiple partners. Blood tests reveal that Ken's liver enzymes are elevated. The advanced practice nurse suspects some type of hepatitis.
Discussion Questions
1. Considering Ken's lifestyle, which type or types of hepatitis has he most likely contracted? Provide your rationale. What other differential diagnoses need to be considered and why?
2. How would you expect a differential diagnosis of hepatitis to be confirmed- what other diagnostic testing, including labs, needs to be considered?
3. Discuss the etiology and pathogenesis of hepatitis B.
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