MS-1400

MS-1400

A 15-year-old girl comes to the hospital complaining of severe right upper quadrant pain and vomiting that started 4 hours ago. She has a medical history of depression and anemia and is currently taking iron supplements and the combined oral contraceptive pill. Upon examination, she appears confused and has yellow-tinted sclera. Her prothrombin time is 50 seconds, and her blood results show a pH of 7.1, albumin levels of 18g/L, ALT levels of 150 iu/L, ALP levels of 40 umol/L, bilirubin levels of 76 µmol/L, and yGT levels of 115 u/L. Based on these findings, what is the most likely cause of her presentation?