Name:            Akinyemi Idowu

Theme:          Hepatitis

 

OPTION LIST

 

A

Acute Alcoholic Hepatitis

I

Hepatitis C Infection

B

Acute Biliary Obsruction

J

Epstein-Barr Virus Infection

C

Autoimmune Hepatitis

K

Chronic Alcoholic Hepatitis

D

Acute Drug Induced Hepatitis

L

Hereditary Haemochromatosis

E

Chronic Drug Induced Hepatitis

M

Alpha -1 - Antitrypsin Deficiency

F

Wilson’s Disease

N

 

G

Hepatitis A Virus Infection

O

 

H

Cytomegalovirus Infection

P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1.         A 27 year sold man presents to his GP complaining of a fever, painful joints and diarrhoea.  On examination the GP notices that there are excoriation marks on the gentleman’s arms.  The patient has no significant drug or alcohol history and is generally well.  The patient mentions that he came back from a  back packing trip around India and Sri Lanka 3 weeks ago.

 

2.         A 26 year-old banker presents to A&E with pyrexia, anorexia and repeated vomiting.  She complains of right upper quadrant pain and is also tender in the region below her right costal margin.  A histology report reveals steatosis which is most prominent in aciniar zone 3.  Mallory’s hyaline are evident in the hepatocyte cytoplasm.

 

3.         A 35 year-old diabetic woman presents to her GP after noticing that her periods had stopped.  She has a 3 year history of irregular periods.  On examination the GP notices striae on he lateral abdominal wall and Hepatosplenomegaly.  The patient also mentions that she has “teenage” skin and that she seems to have more facial hair than in previous years.

 

4.         A 41 year old man is in the last week of double therapy for extra pulmonary tuberculosis.  He attended his GP  for regular monitoring.  The GP noticed that the patients liver function tests (LFTs) showed raises transaminases. After withdrawal of the therapy his LFTs normalise.

 

 

ANSWERS

 

1. G

2. A

3. C

4. E