A 19-year-old male presents to the ED with jaundice and lethargy. He has no medical conditions and is usually fit and well. He drinks two bottles of vodka at the weekend, smokes cannabis daily, and has recently got a tattoo. He is slightly confused.
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What are the most appropriate initial investigations to assist with diagnosis?
The patient becomes more disorientated and his blood results are as follows:
ALT 6544, AST 765, ALP 54, GGT 46, Bilirubin 127, PT 120, APPT 67, Glucose 2.1
Rank the following diagnoses in likelihood for this patient (1 being the most likely).
1
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2
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3
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4
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Where is the appropriate place of admission for this patient?
How should this patient be initially managed? (select 4 options)