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April 3, 2023

K.S. is a 35-year-old man who has been homeless for the past 5 years. He presents to the health department complaining of flulike symptoms and abdominal pain. K.S. has multiple tattoos and p

Senario: K.S. is a 35-year-old man who has been homeless for the past 5 years. He presents to the health department complaining of flulike symptoms and abdominal pain. K.S. has multiple tattoos and piercings. He admits to intravenous drug use and unprotected sexual behavior with multiple female partners. Blood tests reveal that K.S.’s liver enzymes are elevated. The healthcare provider suspects some type of hepatitis.
Question: How would you expect a differential diagnosis of hepatitis to be confirmed?
Presence of viral particles in stool
Elevated bilirubin and prothrombin time and low albumin
Presence of the specific hepatitis antibodies in the blood
Inflammation of the liver on ultrasound

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