MRCP2-1916

MRCP2-1916

A 23-year-old recent graduate presents to the clinic complaining of fatigue, yellowing of the skin and eyes, and difficulty eating due to a sore throat. She recalls that her mother had a liver condition. On examination, she has a fever of 38.5 °C, blood pressure of 120/80 mmHg, and a regular pulse of 90/min. Pharyngitis is noted on examination of her throat. Laboratory tests reveal the following results:

– Alanine aminotransferase (ALT): 25 u/l (normal range: 7-55 u/l)
– Aspartate aminotransferase (AST): 30 u/l (normal range: 10-40 u/l)
– Bilirubin: 85 μmol/l (normal range: 1-22 μmol/l)
– Albumin: 38 g/l (normal range: 35-55 g/l)

What is the most appropriate next step in the management of this patient, given the most likely diagnosis?