Transcript Case 1

Case # 1 Dr. Laura Lamps
A 32 year old Caucasian man presented to the
Hepatology Clinic after he was found to have elevated
transaminases during a routine physical. AST was 56, ALT
102, normal bilirubin and alkaline phosphatase.
Upon questioning, the patient admitted to IV drug use
for three months in the past, but also said he had worked
as a Licensed Practical Nurse and received multiple needle
sticks. He complained of fatigue but no other symptoms.
He was referred for liver biopsy.