Mary is a 22 year old IV drug user, light alcohol user, and cigarette smoker


Question Number 1034
Question:
Mary is a 22 year old IV drug user, light alcohol user, and cigarette smoker. She has developed right upper quadrant abdominal pain , nausea and vomiting along with a mild fever. Ironically, Mary notices a paradoxical distaste for smoking. One week later her skin develops a yellowish hue. On physical exam, she is found to have an enlarged, tender liver. Her laboratory tests show dramatically elevated liver enzymes. Her alpha fetoprotein test is negative. What condition is most likely?
a) hepatitis A
b) hepatitis B
c) Laennec's cirrhosis
d) Gilbert's Syndrome
e) hepatocellular carcinoma


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