A 45-year-old man presents to the clinic with fatigue, anore…
A 45-year-old man presents to the clinic with fatigue, anorexia, and right upper quadrant discomfort. He denies alcohol use, recent travel, or high-risk sexual behavior. He has no known drug allergies and takes no prescription medications. His laboratory tests reveal the following: AST: 225 U/L ALT: 310 U/L Total bilirubin: 2.1 mg/dL HBsAg: positive Anti-HBc IgM: positive Anti-HBs: negative Anti-HCV: negative Anti-HAV IgM: negative Based on this clinical and laboratory picture, which of the following is the most appropriate interpretation and next step in management?
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