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:

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Follow up visit to the doctor
  • Dual way
  • Carros?
  • Chooses swimming instead
  • Misoprostol
  • ISOLATION OF DNA AND POLYMERASE CHAIN REACTION (PCR)
  • Jonás tiene 30 años y vive con su madre en Salónica.
  • Aluminum hydroxide and Magnesium carbonate
  • Ask the patient to walk or change position (risk of falling).
  • Oral prednisolone (glucocorticoid)
  • Celecoxib
  • Cholestasis is the most likely diagnosis

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