Julia, 32 years old, has been feeling very weak, nauseated and vomiting for a week. Your husband points out to you this morning that your sclera are yellowish. When he goes to the doctor, he says that since the previous day his urine has taken on the color of tea water and that he is feeling some generalized itching. Upon examination, she was found to be afebrile, jaundiced, and with painful hepatomegaly 4 cm from the RCD. He also notes that he has several tattoos on his body and some spontaneous bruises. Julia shares her concern because her 6-year-old son, Andrés, had hepatitis a month ago and she fears he has caught it. She also thinks her condition might be the same as her sister who had a cholecystectomy 6 months ago. The laboratory reports 4500 leukocytes/mm3, PT 20”, BT 18mg/dL, BD 16.5mg/dL, ASAT 100mg/dL, ALT 200mg/dL, a hepatobiliary ultrasound shows a slight decrease in hepatic echogenicity, an echolucent gallbladder, IgMHBc positive, HBeAg positive. She is diagnosed with acute hepatitis B with liver failure. Fresh frozen plasma is administered and general measures are initiated -I want 5 open questions from the text -I want 3 closed questions from the text
Julia, 32 years old, has been feeling very weak, nauseated and vomiting for a week. Your husband points out to you this morning that your sclera are yellowish. When he goes to the doctor, he says that since the previous day his urine has taken on the color of tea water and that he is feeling some generalized itching. Upon examination, she was found to be afebrile, jaundiced, and with painful hepatomegaly 4 cm from the RCD. He also notes that he has several tattoos on his body and some spontaneous bruises. Julia shares her concern because her 6-year-old son, Andrés, had hepatitis a month ago and she fears he has caught it. She also thinks her condition might be the same as her sister who had a cholecystectomy 6 months ago. The laboratory reports 4500 leukocytes/mm3, PT 20”, BT 18mg/dL, BD 16.5mg/dL, ASAT 100mg/dL, ALT 200mg/dL, a hepatobiliary ultrasound shows a slight decrease in hepatic echogenicity, an echolucent gallbladder, IgMHBc positive, HBeAg positive. She is diagnosed with acute hepatitis B with liver failure. Fresh frozen plasma is administered and general measures are initiated
-I want 5 open questions from the text
-I want 3 closed questions from the text
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