Viral serology interpretation: HBsAg +ve, HBcAb +ve, HBcAb IgM -ve, HBeAg +ve
Acute viral hepatitis
Immunised against Hep B
Chronic hepatitis B
Hepatitis B carrier stage
Fulminant hepatitis B
51yo male, alcohol. Picture of abdomen shown - what is the pathogenesis of the indicated feature?
Decreates vitamin K
The pathogenesis pathway shown in the illustration is typical of which virus?
42yo male, alcoholic, fatigue. Liver biopsy is shown. What is the likely diagnosis?
Chronic lymphocytic leukaemia
A 42yo travelling salesman has routine medical test for insurance. Following initial testing he was advised a liver biopsy. The biopsy image is shown. What is the most likely diagnosis?
Chronic viral hepatitis
Viral serology interpretation: HBsAg -ve, HBcAb -ve, HBsAb +ve
Past hepatitis B
Viral serology interpretation: HBsAg negative, HBsAb +ve, HBcAb +ve, HBcAb IgM -ve.
Acute viral Hep B
Past Hep B
Hep B carrier stage
Carrier state of Hep B
Lab investigation interpretation:
Alcoholic liver disease
Past Hepatitis B
Carrier state of Hepatitis B
28yo male, alcoholic, homosexual, icterus and fever. Liver biopsy is shown. What is the diagnosis?
Chronic persistent hepatitis
Alcoholic fatty liver
69yo female, chronic bronchitis. Died following chronic cardiac failure. Liver specimen shown. What is the likely diagnosis?
62yo male, malaise, lethargy for 2 years. Mild hepatomegaly, no jaundice. Liver function tests are normal. Liver biopsy shown. What is the most likely diagnosis?
22yo male, alcoholic, 3 weeks of fatigue, icterus and fever. Liver biopsy shown. What is the structure identified by the arrow?
34yo male, icterus and fever. Liver biopsy shown. What is the likely diagnosis?
Chronic active hepatitis
Decreased vitamin K
56yo chronic alcoholic, 2 days fever, abdomen distended, tender, tap yielded cloudy yellow fluid with 98% neutrophils. Blood culture grows E. coli. Patient dies 3 days later. Liver image shown. What is the likely diagnosis?
Primary sclerosing cholangitis
58yo male, alcoholic, distended abdomen and icterus. Liver biopsy shown. What is the likely diagnosis?
Chronic alcoholic hepatitis
51yo male, alcoholic, history of surgery for pigmented skin lesion. Liver specimen shown. What is the likely diagnosis?
Amoebic liver abscesses
Multiple liver infarcts
59yo male, alcoholic, presents with fatigue, anorexia. Normal liver function tests. Liver specimen shown. What is the likely diagnosis?
22yo male, alcoholic, 3 weeks of fatigue, icterus and fever. Liver biopsy is shown. Identify the structure indicated.
28yo male, 3 weeks after visiting east timor presents with malaise, fatigue, loss of appetite. Mild icterus. AST and ALT mild elevation. Total bilirubin 3.9mg/dL (direct 2.8). Which of the following would be positive?
41yo female, increasing malaise, 10kg weight loss since last year. Developed coma and died. Liver specimen shown. What is the most likely etiologic agent?
A 48yo male is referred following high ALT in health screening. HCV immunoassay positive. Past history of appendicectomy 10 years ago. Examination is normal. Which of the following tests would determine if he has chronic HCV infection?
Repeat EIA for anti-HCV Ab
Recombinant immunoblot assay (RIBA)
Direct, indirect and total bilirubin assay