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Assignment:
A 55-year-old female seeks medical treatment for jaundice and chief complaints of a recent unexplained 10-lb weight loss, nausea and vomiting. Her physical exam revealed an enlarged liver. Liver function test results are as follows: Result Reference Range Total Bilirubin 2.2 mg/dL 0.2 - 1.2 mg/dL Direct Bilirubin 1.2 mg/dL 0.0 - 0.3 mg/dL ALP 120 U/L 42 - 98 U/L AST 1050 U/L 5 - 35 U/L ALT 1063 U/L 7 - 45 U/L Total Protein 8.0 g/dL 6.5 - 8.3 g/dL Albumin 3.5 g/dL 3.5 - 5.0 g/dL
1. What type of jaundice does Verlita have? Defend your answer.
2. Explain potential causes of the abnormal result(s) on the liver function panel. Upon reviewing the results of the liver function panel, the doctor ordered a hepatitis profile, with results as follows: IgM anti-HAV Negative HBsAg Positive IgM anti-HBc Positive IgM anti-HCV Negative.
3. What is the likely diagnosis?
4. Is this acute or chronic disease?
5. What complications of this disease could develop in the future?
6. Could this have been prevented? How?
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