Cholestasis is the most likely diagnosisThe 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. |
Map: Andrew Hall (1102)
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Review your pathway |