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She should have been tested, because of the images history of IV drug use. The patient was known to have hepatitis B, but images a single positive HBsAg does not indicate whether the patient is a carrier or is acutely infected. In this instance, because of the history of a steady sexual partner, it is less likely that this is sexually transmitted acute hepatitis B, but the possibility cannot be ruled out entirely. We are not told the hepatitis B status of the boyfriend. The images hepatitis B surface antigen should be repeated after six months to determine whether the patient is a carrier. She also has a history of alcohol abuse, but we are uncertain about her consumption during pregnancy.
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