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
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  • Glyceryl trinitrate (organic nitrate)
  • PPIs are weak bases converted by CYP450 enzymes to the active form in parietal cells
  • Ignore the emotional expression.
  • Όλες οι περιοχές που εξετάστηκαν είναι επιμολυσμένες.
  • Inhalational cromoglicate
  • History of Medication Compliance
  • Fibrosis quística: Planteamiento del caso
  • A
  • Ramipril
  • Ionuț preferă să rămână singur.
  • Ασφάλεια στο εργαστήριο
  • Insist on continuing with poor video quality
  • Testul Sudan III
  • Verapamil (calcium channel blocker)
  • >Ο θόρυβος της εικόνας θα αυξηθεί
  • Ask the patient to walk or change position
  • Inhalational fluticasone (glucocorticoid)
  • Delay wound assessment until an in-person visit
  • Cholestasis is the most likely diagnosis

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