Case 8
Misou's laboratory findings (elevated ALP activity with normal gamma-glutamyltransferase [GGT] activity, hyperbilirubinemia, hypokalemia, and hypertriglyceridemia) and history (anorexia) are most suggestive of hepatic lipidosis. What you don't know, however, is if it is primary or secondary to an underlying disease. Thus, the workup and her treatment will need to continue.
QUESTION 3
In addition to continuing her intravenous fluid support, what is a logical treatment plan for Misou at this time?
a) Start an appetite stimulant and syringe feeding.
c) Start total parenteral nutrition to maintain her caloric requirements.
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