Doctor Bharat Pokhrel 🇳🇵 over 5 years ago

54/M History of Cirrhosis brought to ER CC: Agitation and confusion She reports that he was nauseated and vomited bright red blood several times yesterday His cirrhosis is secondary to Chronic Hep C for which he received treatment for esophageal varices in the past PE: Abdominal distension Decreased liver span Testicular atrophy Jerky flexion extension tremor involving his hands seen with extension Which of the ff is most likely to be elevated in this patient’s astrocytes? A. Alpha ketoglutarate B. Alanine C. Aspartate D. Carbomyl phosphate E. Glutamine