A 22- year-old college student complains of the appearance of yellowish coloration on her sclera. She mentions that she had been dizzy and weak for the last 3 days but did not feel any pain or fever and no change in stool color. Abdominal examination reveals normal bowel sounds and no tenderness or organomegaly. Laboratory tests show normal levels of liver enzymes and serum bilirubin.
Which is the most likely initial diagnosis?
- A- Hepatocellular disease
- B- Hemolysis
- C- Gallstones
- D- Obstructive jaundice
- E- Pancreatic cancer
An 18-year-old male complains of nausea and slight icterus for 2 weeks. Medical, surgical and family histories are unremarkable. Physical examination reveals slight jaundice and tenderness on the right upper side of the abdomen. Laboratory findings include positive IgM anti-HAV and marked elevation of ALT and AST levels.
What is the appropriate management of this patient at this time?
- C-HBV vaccine
- D-Interferon alfa
- E-Supportive treatment