High-risk individuals who should be screened for Hepatitis B*

• Immigrants from Hepatitis B Virus (HBV)-endemic countries
• Nonvaccinated individuals whose parents were from HBV-endemic countries
• Household contacts of HBV carriers 
• Sexual contacts of HBV carriers
• Persons with multiple sexual partners
• Men who have sex with men
• Persons who have used recreational or intravenous drugs
• Inmates
• Patients with chronic renal failure needing dialysis
• Patients with abnormal liver enzymes
• All pregnant women
• Patients needing or currently on immune modulation therapy

* - Coffin CS, Fung SK, Ma MM. Management of chronic hepatitis B: Canadian Association for the Study of the Liver consensus guidelines. Can J Gastroenterol. 2012 Dec;26(12):917-38.

Having refreshed your memory, you enter the room and meet Mrs. Tran