Question

a 24 - year - old male patient presents to your office with a fever, anorexia, fatigue, and malaise. you notice yellowing of the patients skin and conjunctiva. lab results reveal elelvated total bilirubin, elevated alkaline phosphatase, and decreased albumin. differetial shows increased wbc and increased lymphocytes. which of the following choices are most closely related to his case? choose three (3).
hepatitis
crystals in the urine
kub
ultrasound
upper abdominal pain
pain in right shoulder
hepatitis panel
gallstones
flank pain

Explanation:

• Hepatitis: The patient has jaundice (yellowing of skin and conjunctiva), elevated bilirubin, elevated alkaline phosphatase, and decreased albumin. These are common in hepatitis as the liver is affected (liver produces albumin, processes bilirubin, and alkaline phosphatase can be elevated in liver disorders).
• Ultrasound: A non - invasive imaging modality that can be used to visualize the liver (to check for inflammation, size changes etc. in case of hepatitis) and also rule out other causes like gallstones (but in this case, the initial presentation points more towards a liver - centric issue which ultrasound can help assess).
• Hepatitis panel: To confirm the type of hepatitis (viral types like HAV, HBV, HCV etc.) as the patient has symptoms and lab findings suggestive of liver dysfunction.

Answer:

hepatitis, Ultrasound, hepatitis panel