Information is presented in a scholarly manner (clear, grammatically correct) and reflects synthesis of information from sources.  APA format is correctly used for citations and references. Submission follows assignment guidelines; does not exceed page limit (6 pages, excluding title and reference pages). (15 pts)

UTA Title page (5 pts)

Respond to the following questions regarding the Case Study

1. The clinical scenario is most consistent with which type of hepatitis? Please list your answer below using a bullet point format.  This does not have to be in a complete sentence.  A citation is not required. (10 pts)

2. What specific data in the clinical scenario supports your diagnosis? You may list your answers below using bullet point format.  This does not have to be in a complete sentence. A citation is not required. (10 pts)

3. What is the most likely cause of this patient’s diagnosis you noted in Question 1? You may list your answer below using a bullet point format. This does not have to be in a complete sentence.  A citation is not required. (10 pts)

4. Describe key pathophysiologic concepts that relate to the diagnosis in question 1. To answer this question completely, you must answer all of the sub-questions below using complete sentences. Each sub-question may be answered in 1-6 sentences.  ***Citations are required for each answer to each question using APA format.  You MAY NOT use direct quotes.

a. How does Hepatitis lead to an increased risk of hepatocellular carcinoma?  Describe how the virus affects the hepatocytes and may lead to cancer.  ( 10 pts)

b. How does Hepatitis lead to cirrhosis of the liver?  Describe the pathologic steps of how cirrhosis develops and how cellular changes can lead to liver failure.  ( 10 pts)

c.  One of the negative sequela of liver failure is increased bleeding.  Why do individuals with liver failure experience potentially life threatening bleeding?  Describe how liver failure leads to coagulopathy. ( 10 pts)

d.  Portal hypertension is also a negative sequela of liver failure.   Describe how liver failure leads to portal hypertension AND how portal hypertension manifests.  (10 pts)

5. Mr. James is concerned that he will transmit the virus to his new granddaughter after she is born.

What is the likelihood of transmitting the virus to his granddaughter?  Provide a single sentence that includes your rationale.  A citation is not required.  (10 pts)