Diagnosis??
A male 22 yrs old suffering from high grade fever of 102 since 3 days ,muscle pains ,weakness ,headache and vomitings.He is a acute alcoholic .Blood tests shows low platelets of 1 Lakh and liver enzyme markers are abnormal .
He must stop drinking damn alchohol cause due to that he had liver disease
Fever and vomiting suggest that it may be alcoholic hepatitis(as per symptoms) . In alcoholic hepatitis AST higher than ALT.it may be chronic or acute. I am not sure about it. Because in chronic condition AST level moderately elevated (50 - 100 IU/L), and acute condition it is 300-1000 IU/L. but in case you have written that he is acute alcoholic. so it produce confusion..
Abnormal liver markers suggest liver disorder,analyse the serum if its normal correct the liver dysfunction by asking a brief history of his alcohol consumption
