Hepatitis B Quiz: Ace Your Exams
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A 68-year-old man was brought to the emergency department due to dizziness and vomiting for three days. The patient states that when he vomited, it appeared dark and grainy, similar to coffee grounds. He states that his stools have had a sticky consistency. He has not seen a doctor in 10 years. Temperature is 37.0°C (98.6°F), pulse is 90/min, respirations are 16/min, and blood pressure is 110/70 mmHg. Conjunctiva are icteric and pupils are reactive without papilledema. Abdominal exam is significant for a mildly distended abdomen with a fluid wave, but no tenderness or guarding. Lab results show a moderately elevated AST and Alt and an elevated INR. Lab tests from his last clinic visit 10 years ago are shown below. Endoscopy reveals dilated distal esophageal veins with cherry-red spots. Which of the following additional findings is most likely to be present in this patient?
| Laboratory value | Result |
| HBsAg | + |
| HBsAb | - |
| Anti-HBc IgM | - |
| Anti-HBc IgG | + |
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