question

A 60-year-old man present to the A and E department with Jaundice and alcoholic encephalopathy and GCS of 13. He is otherwise asymptomatic.

Blood tests results:
LFT:
AST 120
ALP 220
TP 50
Bili 100
FBC:
Hb 8
WCC 11
Plt 130
U & E:
Na 130
K 3
Ur 12
Cr 100
Lipid profile:
Cholestrol 16
Triglyceride 8
Blood film:
spherocytosis

What is the most appropriate initial management for this patient?
1-Prednisolone
2-OGD
3-MRCP
4-Supportive management
5-Emergency surgery

Zieve syndrome is characterized by hepatic dysfunction, jaundice, hyperlipidaemia,

and reversible hemolytic anaemia after alcohol abuse.

Pathogenesis is not clear.

There is no specific treatment. Management is supportive.