40-year male patient who was a known smoker presents in AIIMS OPD with fever, latigue, jaundice, yellow colored urine with clay colored stools. For the past few days he had developed aversion to cigarette smoking. On examination scleral icterus was present. LFT are:Total Bill18.5Direct Bill7.5SGOT723SGPT812What investigations will you send for ruling out acute viral hepatitis?
Correct Answer: AntiHAV, HBsAg, IgM antiHBc, AntiHCV
Description: Ans: B. AntiHAV, HBsAg, IgM antiHBc, AntiHCVRef: Harrison, I8't' ed., pg. 328, 2549-2552, 2550t, 2551tHB- sAgIgM Anti- HAVIgM Anti- HBcAnti-HCVDiagnostic Interpretation+ + Acute hepatitis B Chronic hepatitis B++ Acute hepatitis A superim? posed on chronic hepatitis B+++ Acute hepatitis A and B--+ Acute hepatitis A--++ Acute hepatitis A and B (HBsAg below detection threshold) + Acute hepatitis B (HBsAg below detection threshold) Acute hepatitis C
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