Last week, a 24-year old male came to me for consult regarding his yellowish palpebral conjunctiva and allegedly tea-colored urine. He said he already sought medical opinion the week prior and was told it was a viral infection. Urinalysis turned out to be unremarkable. The first thing that came to mind was Hepatitis A so I requested for anti-HAV(IgM) determination as well as HbsAg. The following day, he showed me the result and I was right. The anti-HAV was reactive. Here's an article regarding Hepatitis A. Hepatitis A , (formerly known as infectious hepatitis), is an acute infectious disease of the liver caused by Hepatitis A virus, which is most commonly transmitted by the fecal-oral route via contaminated food or drinking water. The time between infection and the appearance of the symptoms, (the incubation period ), is between two and six weeks and the average incubation period is 28 days . Hepatitis A does not have a chronic stage and does not cause p...