A blog by Stevan C Wing: beta 0.88

What's your diagnosis?

I recently met this man who was in his mid 40’s and presented to the emergency department after a week of feeling ‘not very well’.

to summerise he had the following:

  • Genotype 1a Hepatitis C
  • Ex-IVDU- just completed 6/52 of inpatient rehabilitation
  • Previous cocaine addict

His initial blood tests showed the following:

  • ALT: 9000
  • Creatinine: 950
  • CK: 90,000

Any ideas? What’s your diagnosis?

What investigations would you order?

© Stevan C Wing 2011- 2018