Case based Panel Discussion: 30 yr male with child A cirrhosis have AST and       ALT of 600IU/550 IU /ml
 

Sub-topics:
 1. What are the most likely causes of such high transaminase levels in a patient   with known Child-Pugh A cirrhosis? 
 2. Are there any infectious or autoimmune etiologies that need to be considered   and  investigated further?
 3. Herbal supplements, or other drugs leading to this scenario?
 4. Work up for cryptogenic cirrhosis
 5. Role of Liver Biopsy in this patient
 6. Algorithm for work up