Alcohol-induced hepatitis Quiz: Ace Your Exams
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A 52-year-old man presents to the emergency department due to right upper quadrant abdominal pain and jaundice for the past two days. The patient normally drinks 20 ounces of whiskey per day but has not had a drink in five days due to the fact that he has been feeling ill. Past medical history is significant for CKD stage 3b, dyslipidemia, hypertension, and a mechanical heart valve. Current medications include atorvastatin, hydrochlorothiazide and warfarin. Vital signs are within normal limits. Bloodwork is obtained and results are shown below. Alcohol-induced hepatitis is suspected. Which of the following tests should be performed to confirm the diagnosis?
Serum Test | Result |
| Sodium | 133 mEq/L |
| Creatinine | 1.9 mg/dL |
| Total bilirubin | 6.2 mg/dL |
| Direct bilirubin | 5.0 mg/dL |
| AST | 300 U/L |
| ALT | 125 U/L |
| Creatine kinase (CK) | 350 U/L |
| INR | 2.6 |
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