A 28-year-old woman comes to the emergency department for a 1-week history of jaundice and nausea. She recalls eating some seafood last weekend at a cookout. She lives at home with her 4-year-old son who attends a daycare center. The child's immunizations are up-to-date. The patient's temperature is 37.5°C (99.5°F), pulse is 82/min, and blood pressure is 134/84 mm Hg. Examination shows scleral icterus. The liver is palpated 2 cm below the right costal margin and is tender. Her serum studies show: Which of the following is most likely to be elicited on further history taking?

Question

A 28-year-old woman comes to the emergency department for a 1-week history of jaundice and nausea. She recalls eating some seafood last weekend at a cookout. She lives at home with her 4-year-old son who attends a daycare center. The child's immunizations are up-to-date. The patient's temperature is 37.5°C (99.5°F), pulse is 82/min, and blood pressure is 134/84 mm Hg. Examination shows scleral icterus. The liver is palpated 2 cm below the right costal margin and is tender. Her serum studies show:  Which of the following is most likely to be elicited on further history taking?

Quizplus · Accepted Answer

Eductional Objective: Transmission of the hepatitis A virus occurs through the fecal-oral route and is common in areas with overcrowding and poor sanitation.  Outbreaks frequently result from contaminated water or food, and raw or steamed shellfish is a common culprit in the United States.

A 28-Year-Old Woman Comes to the Emergency Department for a 1-Week