Snapshot A 44-year-old man presents to the emergency department with abdominal pain. He has been experiencing this pain for the past few days, and it has progressively worsened. He has a past medical history of alcohol use disorder, complicated by previous hospital admissions for acute pancreatitis. Physical examination is notable for right upper quadrant tenderness and hepatomegaly. Laboratory studies demonstrate a serum aspartate aminotransferase level of 315 U/L and an alanine aminostransferase level of 152 U/L. Introduction Overview login to view 4 more bullets Associated conditions login to view 4 more bullets ETIOLOGY Pathophysiology login to view 4 more bullets Presentation Patients are typically asymptomatic login to view 1 more bullet Symptoms/physical exam login to view 7 more bullets Imaging Abdominal ultrasound login to view 2 more bullets Studies Serum labs login to view 8 more bullets Differential Viral hepatitis login to view 3 more bullets Treatment Conservative login to view 7 more bullets Medical login to view 3 more bullets Surgical login to view 3 more bullets Complications Gastroesophageal varices login to view 1 more bullet Hepatocellular cancer Ascites login to view 1 more bullet