A 42-year-old woman is evaluated for nausea, anorexia, fever, and malaise that have been present for several days. On physical examination, she has visible scleral icterus. She recently returned from a trip to Honduras, and she did not receive any pretravel medical care or immunizations. As part of her evaluation, tests for viral hepatitis are […]

A 24-year-old man who has sex with men is seen in a sexual health clinic with urethral discharge. He is diagnosed and treated for gonorrhea. During the visit he also reports having dark urine, anorexia, fatigue, and intermittent fever. Physical examination is notable for a temperature of 38.2°C, scleral icterus, and right upper quadrant tenderness. […]

A 24-year-old man who has sex with men is seen in a sexual health clinic with urethral discharge. He is diagnosed and treated for gonorrhea. During the visit he also reports having dark urine, anorexia, fatigue, and intermittent fever. Physical examination is notable for a temperature of 38.2°C, scleral icterus, and right upper quadrant tenderness. […]

A 21-year-old man who has sex with men presents to a sexual health clinic to get screening for sexually transmitted infections. He says that a sex partner was recently diagnosed with hepatitis B virus (HBV) infection and asks about his risk of acquiring hepatitis B through sex with this partner. This 21-year-old has never received […]

A 23-year-old woman who has sex with men is seen for a follow-up evaluation in a sexual health clinic after a very recent diagnosis of HIV. As part of the baseline laboratory studies, screening for hepatitis B virus (HBV) infection shows negative hepatitis B surface antigen (HBsAg), positive hepatitis B surface antibody (anti-HBs), and positive […]

A 41-year-old man is seen with nausea, vomiting, fatigue, and jaundice. His main sex partner has chronic hepatitis B virus (HBV) infection, and they regularly have condomless sex. After an extensive evaluation, this 41-year-old is diagnosed with acute HBV infection, but he does not have any clinical or laboratory evidence of liver failure. Which one […]

Your friend and colleague just posted this to a private Facebook page that only allows APNs: “I have a 45-year-old patient with acute respiratory distress syndrome (ARDS) and Respiratory Syncytial Virus (RSV). She was healthy prior to this and worked at the Starbucks on the corner of Clark and Addison streets as a full-time barista. […]

A 23-year-old woman recently tested positive on a pregnancy test and is seen for her initial prenatal visit. Based on the dates of her last menstrual period, she is estimated to be 18 weeks pregnant. Which one of the following is recommended regarding screening for hepatitis B virus (HBV) in pregnant people? All pregnant persons […]

A 34-year-old transgender woman presents to a sexual health clinic after receiving a call today from a man she had condomless sex with 2 days ago. The man notified her that he was just diagnosed with hepatitis B infection. The transgender woman who has come to the sexual health clinic for evaluation has not previously […]

A 22-year-old male presents to his primary care clinic for an annual examination. He reports his only past medical history is having hepatitis A during a trip to Mexico two years prior from which he fully recovered. His social history is notable for marijuana use. He reports having sex only with male partners. Among men […]