Hepatitis Case Study
Name
The University of Texas at Arlington
College of Nursing Graduate Program
In partial fulfillment of the requirements of
N5315 Advanced Pathophysiology
Kristi Vaugh DNP, RN, ACNP-BC
, 2
HEPATITIS
Questio
ns
1. The clinical scenario is most consistent with which diagnosis? You
may simply list your answer below using a bullet point format. This
does not have to be in a complete sentence.
Chronic Hepatitis B
2. What data in the clinical scenario supports your diagnosis? You may
simply list your answers below using a bullet point format. This does
not have to be in a complete sentence.
*Elevated AST and ALT
*HBsAg- positive (acute or carrier)
*Anti-HBc-positive IgG (either has or had infection, after exposure perseveres for years)
*Anti-HBs-negative (along with anti-HBc and HBsAg being positive, this negative indicates
chronic infection)
*Anti-HDV negative (rules out Hep D)
*Anti-HCV negative (rules out Hep C)
*Fatigue
*Heroin user in past
*Unprotected sex with multiple sex partners
*Man having sex with other men