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117256 Pathology

A 20-year-old woman presents with a 2-week history of fever, malaise, and brown-colored urine. She recently visited Mexico. Physical examination reveals jaundice, mild hepatomegaly, and tenderness in the right upper quadrant. The serum bilirubin is 7.8 mg/dL, with 60% in the conjugated form. Serum levels of AST and ALT are markedly elevated (400 and 392 U/L, respectively). Serum albumin and immunoglobulin levels are normal. Serum IgM anti-hepatitis A virus (anti-HAV) is positive. IgG anti-hepatitis B surface antigen (anti-HBsAg) antibodies are positive. Anti-hepatitis C virus antibodies are negative.What is the most likely diagnosis?

AAcute viral hepatitis A
BAcute viral hepatitis B
CAcute viral hepatitis C
DAutoimmune hepatitis
Pathology
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117261 Surgery

True about keloid is

AWide local excision is treatment of choice
BIt has more collagen and vascularity
CWill not spread beyond wound site
DElevated levels of growth factor is not seen
Surgery
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