4) A 33 year old obese man has repeated, mild elevations of his aminotransferases over a 6 month period as shown below. His CAGE screen for alcohol abuse is negative and he is taking no medications. LFTs:

• 4) A 33 year old obese man has repeated, mild elevations of his aminotransferases over a 6 month period as shown below. His CAGE screen for alcohol abuse is negative and he is taking no medications. LFTs:

• Total Protein 7.2 g/dl (6.7-8.6)

• Albumin 4.6 g/dl (4.1-5.3)

• T. Bili .9 mg/dl (.30-1.30)

• D Bili .1 mg/dl (.04-.38)

• AST 92 U/l (12-38)

• ALT 61 U/l (7-41)

• Alk Phos 86 U/l (33-96)

• Which of the following lab tests would be an appropriate part of his work-up?

• Viral hepatitis panel (hep B and Hep C)

• Fe/TIBC

• Anti-smooth muscle antibody

• Anti-gliadin anybody

• Ceruloplasmin

• Acetomenophen level

• All of the above