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(M2.PH.11) A 27-year-old female with no prior medical history is brought to the emergency department by her roommate with severe right upper quadrant pain, nausea, and vomiting. On questioning, the patient is clearly distressed, very furtive, looks away, but does admit to "taking a lot of pills" yesterday. On exam, her vitals are shown as: T: 36 deg C, HR: 95 bpm, BP: 115/60 mmHg, RR: 16, SaO2: 99%. An EKG is obtained, which is demonstrated in Figure A. Her labs are notable for an AST of 6567 mEq/L and an ALT of 5889 mEq/L. What is the most likely cause of this patient's elevated liver enzymes? Topic Review Topic
FIGURES:   A          

1. Oxycodone overdose
2. Tricyclic antidepressant overdose
3. Acute hepatitis A infection
4. Acetaminophen overdose
5. Alprazolam overdose

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