history of drug use, presenting with jaundice, ascites, leg edema - USMLE Forums
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Old 06-21-2011
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Liver history of drug use, presenting with jaundice, ascites, leg edema

A 45 year old woman who is a former IV drug addict presents with jaundice, ascites, leg edema. A CT scan of the abdomen reveals a malignant appearing mass in the liver. Which type of hepatitis is most likely?

A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis E
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Old 06-21-2011
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both HBV or HCV cause hepatic ca but i think the answer is C. Hepatitis C
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Old 06-21-2011
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Answer is C. Hepatitis C more commonly progresses to chronic hepatitis . Hep C can lead to cirrhosis and hepatocellular carcinoma.
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Old 06-21-2011
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why its not hep B ???
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Hepatitis C more commonly progresses to chronicity (50%-70%) . Hepatitis B chronicity occurs in only 1-10% of patients.
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Old 06-21-2011
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Also, since it's USMLE I don't think it's hep B because the rate at which hep C causes hepatocellular ca is more common compare to hep B...But if it's in the tropics I would go for hep B..so the answer is C
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Gastroenterology-, Infectious-Diseases, Step-2-Questions

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