Wednesday, December 30, 2009

EtOH 2

A 50 year old with longstanding alcohol use presents with fever of 38.1, yellow eyes, and decreased appetite. On physical exam, you feel a large tender liver and hear a bruit over the liver. His mental status is slightly waxing and waning and he says he doesn't "clot well."

Challenge: This week's cases are pretty easy. What do you expect the AST and ALT to be?

1 comment:

Craig Chen said...

EtOH 2

In alcoholic hepatitis, AST and ALT should be <300 IU/L (almost always <500) and the AST:ALT ratio is usually >2.

Source: UpToDate.