The following results were obtained in the patient from Case Study 25-2 (Case Study Table 25- 4.1). What is the most likely diagnosis? What is the prognosis? What complications may develop? Solution Ques-1 Diagnosis: From the laboratory diagnosis, it seems that the patient is suffering from multiple infections from hepatitis, including A and B. Both of these forms of hepatitis infections occur due to infected food/water and direct physical contact Ques-2: The major prognosis of hepatitis A & B is to infect liver because cirrhosis finally lasts for 3 to 4 months. Under chronic conditions, it lasts for 6 months due to hepatic cell infection due to hepatitis B virus replication. This is leading to higher incidence of hepatitis core antibody (lgM) so that it is positive Ques-3: Complications: Hepatitis or jaundice is the medical term for yellow discoloration of the sclera and mucous membranes. Heme moiety of hemoglobin is breakdown into iron and bilivirdin in the body. During jaundice, excess breakdown of hemoglobin results in the accumulation of bilirubin (made from bilivirdin), which gives yellow coloration to the mucous membranes. The most common symptoms include flu-like asscoaited with aches, liver dysfunction finally tiredness, diarrhea. The main pain and ache observed in the liver region due to viral invasion of hepatocytes causes inhibition of metabolic enzyme synthesis and metabolic enzyme activity. These symptoms are leading to severe ache below the ribs and near to abdomen specifically in liver.