system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 28-year-old woman comes to the emergency department for a 1-week history of jaundice and nausea. She recalls eating some seafood last weekend at a cookout. She lives at home with her 2-year-old son who attends a daycare center. The child's immunizations are up-to-date. The woman's temperature is 37.5°C (99.5°F), pulse is 82/min, and blood pressure is 134/84 mm Hg. Examination shows scleral icterus. The liver is palpated 2-cm below the right costal margin and is tender. Her serum studies show:
Total bilirubin 3.4 mg/dL
Alkaline phosphatase 89 U/L
AST 185 U/L
ALT 723 U/L
Hepatitis A IgM antibody positive
Hepatitis B surface antibody positive
Hepatitis B surface antigen negative
Hepatitis B core IgM antibody negative
Hepatitis C antibody negative
Which of the following health maintenance recommendations is most appropriate for the child at this time?"
assistant
No additional steps are needed