A 57 year old female presents with general malaise and right upper quadrant pain.
She has a mild fever and tachycardia.
Her blood results are as follows
Hb 131 (115-155 g/l)
Platelets 265 (320-360 /L)
WCC 8.5 (4-11 /L)
Bilirubin 48 (<16 umol/l)
ALP 173 (30 – 115 U/L)
GGT 281 (<36 U/L)
ALT 1826 (<36 U/L)
Albumin 48 (38-50 g/l)
Na 138 (134-146 mmol/l)
K 3.9 (3.4-5.5 mmol/l)
Urea 4.1 (3-8 mmol/l)
Creatinine 55 (30-100 umol/l)
1. Describe the relevant biochemical abnormalities
2. What is the most likely diagnosis?
3. Give 4 most likely causes
4. What are the markers of synthetic function of the liver?
5. List 3 immediate complications of acute liver failure