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Problem on orthopaedic ward for knee arthroscopy


Problem: Mr. Murphy is admitted electively to the orthopaedic ward for knee arthroscopy. As part of his admission bloodwork, his alanine transaminase (ALT) is noted to be slightly elevated at 85 IU/L (normal range: 4-40 IU/L). You note on his admission clerking under his social history that he has previously injected recreational drugs. The admitting doctor sent a full panel of bloodwork for viral hepatitis. The following day, during the ward round, the consultant surgeon wants you to interpret the returned laboratory results, as they have no interpretative comments attached to them. Please assume all results are true results, i.e., neither false positive (weakly reactive) nor false negative (assay failure) are presented. For each virus panel, please make a comment on mode of transmission, availability of a vaccine and consequences of infection, focusing on each virus's propensity to become chronic. Discussion prompts Panel 1: Hepatitis A IgM NEGATIVE, Hepatitis A IgG NEGATIVE. Panel 2: HBsAg NEGATIVE, anti-HBc NEGATIVE Panel 3: Hepatitis C antibody POSITIVE Panel 4: Hepatitis D serology rejected, as this patient is HBsAg NEGATIVE Panel 5: Hepatitis E IgM NEGATIVE, Hepatitis E IgG POSITIVE and references used. Need Assignment Help?

 

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Other Subject: Problem on orthopaedic ward for knee arthroscopy
Reference No:- TGS03502563

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