Oliguria & Jaundice [Case #2]

“A 30 year old man is brought to the ED by his new wife, she has noticed he has become more “yellow” over the past few days.”

He has felt unwell with a fever, fatigue, malaise and vomiting. He has no significant PMH and takes no medications. They only returned from their honeymoon to Mexico a month ago. He has a raised WCC and his LFTs show a picture of hepatocellular damage.

Questions

Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

1. What further questions would you want to ask in the history?

2. What is the pattern of enzymes seen in a "picture of hepatocellular damage"?

3. What is your differential diagnosis?

4. With regards to the following causes of Viral hepatitis please state the route of transmission, whether there is a vaccine, and if it is a notifiable disease.

a) Hepatitis A

b) Hepatitis B

c) Hepatitis C