A 55-year-old man presented to the emergency room, hypotensive and vomiting blood. Abnormal findings on his exam support the diagnosis of cirrhosis. The patient and his family are surprised because he used alcohol only occasionally and to their knowledge never had hepatitis. What is the most likely explanation for his cirrhosis?
A. He acquired hepatitis A while he was serving in Vietnam 30 years ago, but was never jaundiced from that infection
B. His extensive travels exposed him to Hepatitis B
C. He acquired cytomegalovirus (CMV) during a blood transfusion 20 years ago
D. He experimented with injecting drugs 30 years ago
Answer:D
A 55-year-old man presented to the emergency room, hypotensive and vomiting blood. Abnormal findings on his exam support the diagnosis of cirrhosis. The patient and his family are surprised because he used alcohol only occasionally and to their knowledge never had hepatitis. What is the most likely explanation for his cirrhosis?
A. He acquired hepatitis A while he was serving in Vietnam 30 years ago, but was never jaundiced from that infection B. His extensive travels exposed him to Hepatitis B C. He acquired cytomegalovirus (CMV) during a blood transfusion 20 years ago D. He experimented with injecting drugs 30 years ago