Oliguria & Jaundice [Case #2]
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.
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:
What further questions would you want to ask in the history?
What is the pattern of enzymes seen in a "picture of hepatocellular damage"?
What is your differential diagnosis?
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