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A 30-year-old man comes to your office with fatigue, anorexia, nausea, and vomiting...

asked May 10, 2014 in Medicine by Rajesh Bahara

A 30-year-old man comes to your office with complaints of fatigue, anorexia, nausea, and vomiting. He does not have fever. His urine is dark. On physical examination, his liver is slightly enlarged and minimally tender. He does not have edema or spider angiomata. Laboratory tests show the following: negative HBsAg, negative IgM anti-HAV, positive IgM anti-HBc, and negative anti-HCV. The most likely diagnosis is

a. Acute hepatitis A

b. Acute hepatitis B

c. Acute hepatitis A and B

d. Chronic hepatitis B

e. Acute hepatitis C

1 Answer

+1 vote
Best answer
b. Acute hepatitis B

Explanation: acute HBV infection signaled by the positive IgM anti-HBC
answered May 10, 2014 by Rajesh Bahara