Question

A 45-year-old man presents with jaundice, AST 1200 U/L, ALT 1500 U/L and INR 2.0 after 3 days of right upper quadrant pain. He drinks heavily and has taken high doses of acetaminophen. What is the most important immediate specific therapy?

Accepted Answer

Intravenous N-acetylcysteine

Answer

High-dose IV corticosteroids

Answer

Broad-spectrum antibiotics

Answer

Oral vitamin K only

Answer

Chelation therapy

Practice question

A 45-year-old man presents with jaundice, AST 1200 U/L, ALT 1500 U/L and INR 2.0 after 3 days of right upper quadrant pain. He drinks heavily and has taken high doses of acetaminophen. What is the most important immediate specific therapy?