Since the last three were poisons, I wanted to finish this week with a last poison case. Originally, I was going to do radiation poisoning, but the symptoms are too nonspecific. So onto this case, which is an important one to know since it's common...
A college student brings his roommate into the ER. The roommate is confused and disoriented. This is what he looks like:
The patient is sweaty and pale. The roommate says he's been vomiting and lethargic all day. You get some labs and they indicate AST 5000 IU/L and ALT 6000 IU/L. PT is elevated. The roommate says the patient was well a couple days ago.
Challenge: What is the pharmacologic treatment?
1. What does the image show?
2. What's the diagnosis? What is the biochemical pathophysiology?
Image is in the public domain.