Chronic Liver Disease Of in Pediatrics — 9yo Child | Pediatric Gastroenterology | SMLE Q#11824
SMLE Question #11824
Pediatrics
Pediatric Gastroenterology
Objective: OBJ-289
Last updated: February 2026
A 9-year-old boy with chronic liver disease of unclear cause has 3 weeks of worsening jaundice and lethargy. Examination shows deep icterus, hepatomegaly, and asterixis. Abdominal ultrasound shows no biliary duct dilatation. The clinician needs a test to establish the specific diagnosis and stage the degree of liver injury to guide management. Which investigation is considered the gold standard in this setting?
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