What is the culprit of her acute liver failure


Problem: A 43-year-old female presents to the emergency department with encephalopathy. She has been undergoing chemotherapy for the past 3 months for treatment of ovarian cancer. ALT 170 units/L and AST 120 units/L. Ammonia level is 250, and her mental status is obtunded. Her husband reports that she drinks a glass of wine every night. What is the culprit of her acute liver failure? Group of answer choices Ovarian cancer Nightly wine Chemotherapy Lethargy

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