system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 22-year-old man comes to the physician because of yellow eyes and malaise for the past several hours. His symptoms began after he had cried at his father’s funeral this morning. He says that his father’s death was unexpected. He had a similar episode a year ago when he returned from a 2-day hiking trip. He has no history of any serious illness and takes no medications. His vital signs are within normal limits. His sclera are icteric. The remainder of the physical examination shows no abnormalities. Laboratory studies show:
Hemoglobin 15 g/dL
Mean corpuscular volume 95 μm3
Leukocyte count 6000/mm3 with a normal differential
Serum bilirubin, total 3.8 mg/dL
Direct bilirubin 0.5 mg/dL
Lactate dehydrogenase 320 U/L
Alkaline phosphatase 70 U/L
Aspartate aminotransferase (AST, GOT) 22 U/L
Alanine aminotransferase (ALT, GPT) 19 U/L
γ-Glutamyltransferase (GGT) 43 U/L (N=5-50 U/L)
Which of the following is the most appropriate next step in management?
assistant
Reassurance