A 48-year-old female recovering intravenous (IV) drug abuser, presents with general malaise, anorexia, abdominal pain, and slight jaundice. She is currently staying in a women's shelter and looking for a job. She is divorced with two grown children with whom she hasn't been in contact for years.
• CC: "When I was on drugs, I felt fine. Now that I'm clean, I feel crappy."
• Lab results: Elevated alanine aminotransferase (ALT), Hepatitis C antibody positive, Hepatitis A antibody positive
What additional objective data will you be assessing for?
What tests will you order?
Will you be looking for a consult/ If so with who?
Are there any legal/ethical considerations?