A 28 year old man presents to the emergency department having been unwell for the past week or so. He complains of poor appetite and tiredness, and is particularly concerned that his eyes have turned yellow. On examination he has icteric sclera and a tippable mildly tender liver.

His ‘LFTs’ (with reference ranges) are: Bilirubin 185 (3-7 umol/L) AST 1610 (5-35 IU/L) ALT 1635   (5-35 IU/L) ALP 220 (30-300 IU/L) GGT  75   (11-51 IU/L) Albumin 38  (35-50 g/L) INR  1.5       (0.8-1.2) What do the LFTs indicate and what is the prognosis of this case? *This case is by Docplexus Editorial Team for educative purpose only.