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* wants to donate his blood.
 #133365  
  bijjar - 10/28/06 23:28
 
  A 45-year-old white male wants to donate his blood. You run a battery of blood tests on his blood, and the results are as follows:

ALT: 40 IU/L
total bilirubin: 0.9 mg/dl
AST: 45 IU/L
alkaline phosphatase: 110 IU/L
PT: 11 sec
Serology:
HCV RNA positive
HBsAg negative
anti-HBsAg negative
anti-HAV negative
Liver biopsy shows a mild degree of hepatic inflammation. What is true about the management in this patient?

A. Give him hepatitis A vaccine
B. Give him interferon with ribavirin
C. Give him hepatitis B vaccine
D. Do nothing at this time
E. Give him immune globulin
 
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* Re:wants to donate his blood.
#533351
  humerus - 10/28/06 23:29
 
  d  
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* Re:wants to donate his blood.
#533352
  alan - 10/28/06 23:30
 
  agree  
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* Re:wants to donate his blood.
#533360
  logic - 10/28/06 23:32
 
  a.  
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* Re:wants to donate his blood.
#533386
  dia - 10/28/06 23:49
 
  agree with humerus  
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* Re:wants to donate his blood.
#533393
  logic - 10/28/06 23:51
 
  UW tells us to immunize a HCV infected patient to with HAV vaccine , if he is not already vaccinated.  
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* Re:wants to donate his blood.
#533422
  humerus - 10/29/06 00:09
 
  logic, i was just thinkng of that.. but wasnt it that patients with chr hep c must be given hep b vaccine?  
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* Re:wants to donate his blood.
#533452
  bijjar - 10/29/06 00:18
 
  logic, your logic is strong, why you got influenced with humerus, he just want to test your logic.  
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* Re:wants to donate his blood.
#533454
  3stepstomle - 10/29/06 00:19
 
  U NEED TO VACCINATE AGAINST BOTH HAV AND HBV. ALSO GIVE INF+ RIBAVARIN. ( AS HCV+ ALSO MILD INFLAMMATION ) .

NO USE OF IMMUNO GLOBULINS , ALSO NO INTERVENTION IS WRONG.

SO GIVEN THIS SITUATION I WOULD LIKELY GO FOR TREATMENT WITH INF+ RIBA
 
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* Re:wants to donate his blood.
#533457
  3stepstomle - 10/29/06 00:20
 
  BUT TRANSAINASES NORMAL ?????????????????/  
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* Re:wants to donate his blood.
#533458
  logic - 10/29/06 00:20
 
  :-(  
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