DIFFERENTIAL

DIAGNOSIS
PERTINENT FINDINGS Hepatitis C Drug induced liver Autoimmune hepatitis Myocardial infraction
injury
40 years old + + +
Midsternal chest pain + +
BP:90/60 + + +
HR:110
Icteric sclerae + + +
hypertension + + + +
depression + + + +
Smoking + + + +
alcohol +
Tylenol overdose +
ALP:302(41-133) + + +
ALT:351(7-56) + + +
AST:1045(0-35) + + + +
Prothrombin time:19.8 + + +
sec(11-15)
Bilirubin:1.8mg/dl + + +
RBS : 35mg/dl + +
PERTINENT FINDINGS Hepatitis C Drug induced liver Autoimmune hepatitis Myocardial infraction
injury
Serum creatinine : + + +
1.8mg/dl
Plasma acetaminophen + +
concn : 75mcg/ml(10-20)
HCV(+) + +