21st April 2024

A 32-year-old gentleman presents with jaundice and abdominal distension

A 32-year-old gentleman presents with jaundice and abdominal distension. He is found to have decompensated liver cirrhosis with elevated bilirubin and ALT 150. On examination, he is jaundiced with a marked asymmetrical tremor. He has a past medical history of depression and reports that one of his cousins also suffered with liver cirrhosis at a young age.

Which of the following tests is most likely to confirm the diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.