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?
A- Acyclovir
B- Famciclovir
C- HBV vaccine
D- Interferon alfa
E- Supportive treatment
Answer
This is a 2-step question which is common in USMLE and other board examinations. The first step is to find the diagnosis which is viral hepatitis A, confirmed by positive IgM anti-HAV. The other step is management which is supportive treatment. Acute hepatitis A is a self-limited disease and complete recovery occurs in most patients. Other answer choices are not treatment options for acute hepatitis A infection.
The correct answer is E
B
Thank you Mujahid
Supportive treatment
Thank you Zunaira
E
Thank you Maged
E
thank you Miracle
E
Thank you Ayaz
E
Thank you Ayash
E
Thank you Fahima
The answer is E
Thank you Ahmed
E
Hepatitis A
Thank you Kamal
E,supportive treatment
Thank you Wai
E.
Thank you Gaurav
E
Thank you Kamel
E
Thank you Mariam