Card 30 / 34: Which of the following most likely explains the patients liver function tests?A 35 year man is admitted to the ICU obtunded. He was found by family members on the floor of his apartment unconscious. An abdominal ultrasound is normal. The ALT is 11,000 and the AST is 8,050. The total bilirubin and alkaline phophatase are normal. Hepatitis A IgM is negative. Hepatitis B core IgM is negative. Hepatitis C antibody and Hepatitis C RNA levels are undetectable. Ceruloplasmin is normal.
01.)
Bile duct obstruction
02.)
Acute alcoholic hepatitis
03.)
Acute acetaminophen overdose
04.)
Acute hepatitis A
05.)
Acute hepatitis B
06.)
Acute hepatitis C
07.)
Alpha-1-antitrypsin deficiency
08.)
Primary biliary cirrhosis
09.)
Hemochromatosis
10.)
Wilson’s disease
11.)
Acute hepatitis E
12.)
Autoimmune hepatitis
Answer:
03.) Acute acetaminophen overdose
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Gastrointestinal Pathophysiology Self-Assessment
Author:
Dr.Laurence BailenProfessor
Tufts University School of Medicine
USA
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