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A 32-year-old man with no clinically significant medical history presented to the emergency room with fever and a 12-hour history of pain in the right upper quadrant. Before the onset of discomfort he had run 5 miles (8 km) and performed 200 sit-ups. Abdominal examination revealed 1+ tenderness in the right upper quadrant. Laboratory evaluation revealed a total bilirubin level of 1.1 mg per deciliter (18.8 µmol per liter), an aspartate aminotransferase level of 25 U per liter, an alanine aminotransferase level of 36 U per liter, an alkaline phosphatase level of 62 U per liter, a white-cell count of . . . [Full Text of this Article] |
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