New patient for routine physical exam

Reference no: EM133711629

Question

A 70-year-old woman first came to your office two weeks ago as a new patient for a routine physical exam. As part of your exam, you ordered routine blood tests, including a complete panel of liver enzymes. Today she has returned to discuss the results of the blood tests with you. The tests showed that her liver enzymes were elevated by approximately five times the normal limits. The patient says she has never had abnormal liver tests before. She denies alcohol or drug use and is not taking any medications. She has no history of jaundice. Her past medical history shows she was hospitalized at the age of 35 when she was injured in a severe traffic accident. During the resulting surgery to remove her damaged spleen, she required a transfusion of 3 units of blood. She recovered from that episode without further complications. Your complete physical exam 2 weeks ago was normal. Today the patient shows no jaundice, no enlargement of her liver, and feels no liver pain. What is the most likely route of transmission?

1. Contact with rodent urine 2. Contaminated food or water 3. Blood transfusion 4. Changing her grandson's diapers.

Reference no: EM133711629

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