Hi Amina. I see you’re concerned about jaundice?, Yes, my eyes turned yellow last week and I've been feeling really tired., Have you noticed any yellowing of your skin or eyes before?, No, this is the first time., How long have you been feeling bloated after meals?, For about a month now., Have you traveled to any foreign countries recently?, Yes, I was in Thailand two months ago., That’s helpful. Have you felt more tired than usual lately?, Definitely. I’ve been sleeping more than usual., Have you been avoiding any particular foods due to your symptoms?, Fried food makes me feel worse, so I’ve cut that out., Your liver enzymes and bilirubin are high, and your hepatitis A test came back positive. Have you undergone any recent tests or scans elsewhere?, Just blood work at a walk-in clinic., You’re dealing with acute hepatitis A. It should resolve on its own, but we’ll monitor your liver function and hydration closely., Yes, fatty foods and red meat., These signs are concerning. We need imaging and endoscopy to rule out any malignancy or serious GI conditions.

CASE STUDY 5, AMINA

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