wants to donate his blood. - bijjar

[ArchivalUser]

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

[ArchivalUser]

d

[ArchivalUser]

agree

[ArchivalUser]

a.

[ArchivalUser]

agree with humerus

[ArchivalUser]

UW tells us to immunize a HCV infected patient to with HAV vaccine , if he is not already vaccinated.

[ArchivalUser]

logic, i was just thinkng of that.. but wasnt it that patients with chr hep c must be given hep b vaccine?

[ArchivalUser]

logic, your logic is strong, why you got influenced with humerus, he just want to test your logic.

[ArchivalUser]

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

[ArchivalUser]

BUT TRANSAINASES NORMAL ?????????????????/