Critical Pathway

You have correctly identified severe DILI and stopped all anti tuberculosis drug. The patient is admitted to the clinic and his liver function is monitored. After 10 days, new lab results (sent to the city) show improvement: AST 35 U/L, ALT 28 U/L. The patient is no longer vomited, and his nausea has resolved.

  • DECISION POINT

Map: Tuberculosis Case _1 (1129)
Node: 21496
Score:

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  • Ανάλυση Ρίσκου Αυτοκτονικού ασθενούς
  • Flaccid (in hypotonic solution) and turgid (in isotonic solution)
  • Turgid (in hypotonic solution) and flaccid (in isotonic solution)
  • "Such high AST/ALT must be a severe infection, possibly cholangitis. Stop the anti tuberculosis drug and start broad-spectrum antibiotics immediately."
  • "Reduce the anti tuberculosis drug 4-FDC dose to half. Let's monitor for 3 more days. Maybe his liver is just need some adjusting dose.
  • Turgid (in hypotonic solution) and plasmolised (in isotonic solution)
  • Got panic
  • "This is a severe Drug-Induced Liver Injury (DILI) from the anti tuberculosis drug.
  • "This is likely a coincidental acute viral hepatitis. Continue the anti tuberculosis drug to prevent resistance. Give a liver supplement and refer for hepatitis serology.
  • Osmosis in animal cell practical
  • Outcome
  • Outcome
  • Outcome
  • Critical Pathway

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