Cholestasis is the most likely diagnosis

The pattern is hepatocellular injury, not cholestatic. ALT is extremely high (8,300 IU/L) with only modest alkaline phosphatase and bilirubin rises, which points to acute severe hepatocellular necrosis. Do you remember in which setting this is classically seen? 

Please go back and re-consider.

  • Alters ammonia metabolism by colonic bacteria

Map: Andrew Hall (1102)
Node: 20966
Score:

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  • Cholestasis is the most likely diagnosis

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