ABSTRACT

ELFTs and lipase. (i) AST is two to three times higher than ALT in alcoholic hepatitis.

5 Test the urine for bilirubin and urobilinogen.

MANAGEMENT

1 Admit unwell patients to the medical team. (i) This should include those with fever and malaise, persistent

vomiting, dehydration, encephalopathy or a bleeding tendency with a prolonged prothrombin time.