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A 37-year-old dentist has complained of malaise, nausea and general weakness for the past week. It was noted that the dentist had visited Guatemala. After seeing her doctor, the physician ordered a liver panel. Lab Results Total Bilirubin 4.1 mg/dl AST 325 U/L ALT 350 U/L (0.0 – 1.0 mg/dl) (5-28 U/L) (4-30 U/L) (12-64 U/L) GGT 220 U/L ALP 148 U/L (26-84 U/L) 1. What additional tests would you order? 2. What is the presumptive diagnosis?
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