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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OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Epilogue
  • Recommend strong antiseptic without guidance
  • Focus only on glucose control
  • Provide tele-wound care education
  • The patient presentation is not due to paracetamol overdose
  • Delay education until an in-person visit.
  • Επανάληψη νεφελοποιημένης αδρεναλίνης
  • Ondansetron
  • Grita com a mãe.
  • Epilogue
  • Testul emulsiei
  • Follow up visit to the doctor
  • Testul Fehling
  • Motor Exam
  • Misoprostol
  • Lab Tests
  • The Onset
  • Εξέταση του 38 για τερηδόνα
  • Dual way
  • Areas B and D are contaminated and have a high bacterial load.
  • Oral prednisolone (glucocorticoid)
  • Areas B, C and D are contaminated.
  • Carros?
  • Cholestasis is the most likely diagnosis

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