GI Emergencies: A Quick Reference Guide

Robert C. Lowe, MD; Francis A. Farraye, MD, MSc

Chapter 9: Evaluation Andmanagement Ofacute Liver Failure (continued)

Rajeev Prabakaran, MD; Robert C. Lowe, MD

You receive the following call from the emergency department: A 28-year-old man with no past medical history presents with 2 weeks of nausea, fatigue, yellowing of his skin and eyes, and dark urine. He was finally convinced by his family to come for evaluation due to worsening anorexia and increased forgetfulness. Initial labs revealed: Normal complete blood count including white blood count and platelets, normal chemistries; the liver enzyme panel is remarkable for aspartate aminotransferase 1240, alanine aminotransferase 1912, alkaline phosphatase (AP) 128, total bilirubin 5.2 (direct 4.0)…