### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I started working at a Wastewater Treatment Plant 4 months ago. Around a month and a half ago, a piece of wire that was in influent wastewater stuck my finger through my latex gloves. Our treatment plant handles wastewater from the local prison. Around 3 weeks ago I started having pain in my right side. I thought it was from shoveling. I havent been shoveling since then, and the pain continued and now has expanded from the right side to the right front of my abdomen just below my ribcage. It is tender when I push below my ribs and it feels like something is pushing on everything around that area. I started with what I thought was a chest cold a week and a half ago, and now I started in with hives head to toe 4 days ago. Ive kept the hives down somewhat with Benadryl, but I have a huge loss of energy, still rattly cough, and the swelling (which I believe is my liver) hasnt gone down at all. My worry is that I may have contracted Hepatitis or some other form of disease/parasite from work. Ive looked a lot online, and it looks like I have 90% of the HepA symptoms but am not jaundiced. I know ultimately I will need to go get checked out locally, but am curious as to what your opinion on the situation is.

### output:

Hello1) yes you need to do hepatitis profile for hepatitis A, B and C2) you also need USG of abdomen to find any structural changes in liver which can be seen in parasitic infection3) you also need liver function test to be done to check level of bilirubin, liver enzymes4) It is nit necessary to develop severe jaundice in mild hepatitis as it affect liver function mildly, there might be only elevation of liver enzymes only5) sometimes, stones in gall bladder also produce similar symptoms but it doesn't case development of generalized symptoms i.e. weakness, loss if energy or tiredness, mild fever