A 42-year-old man with no past medical history complains of constant generalized abdominal pain over the past two days; he asked to leave his job site today because of feeling “weak” and “tired”. His vital signs are normal, and his abdominal exam is benign, except for a marginally palpable liver edge. On further questioning, patient later admits to alcohol use; he presents at 9 AM to the ED with alcohol on his breath. His history and review of systems are otherwise negative.
His laboratory investigation reveals:
Which of the following is the next most appropriate step in management of this patient?
A. Obtain further testing in the ED
B. Elicit a history of possible fecal-oral exposure
C. Admit for muscle biopsy
D. Admit for liver biopsy
E. Refer him to an outpatient alcohol dependency program
In the meantime, a quote - La maladie vient sur le lièvre; elle part sur la tortue.
[Sickness comes riding on a hare, but goes away riding on a tortoise.] --French Creole Proverb
His laboratory investigation reveals:
Which of the following is the next most appropriate step in management of this patient?
A. Obtain further testing in the ED
B. Elicit a history of possible fecal-oral exposure
C. Admit for muscle biopsy
D. Admit for liver biopsy
E. Refer him to an outpatient alcohol dependency program
In the meantime, a quote - La maladie vient sur le lièvre; elle part sur la tortue.
[Sickness comes riding on a hare, but goes away riding on a tortoise.] --French Creole Proverb
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