Case Presentation: A 44 year old man with a history of alcohol abuse presented with one week of right upper quadrant (RUQ) pain, nausea, jaundice, fevers, lethargy and anorexia in the summer time after two weeks of binge drinking. Physical examination was notable for tachycardia, scleral icterus and RUQ tenderness. Pertinent labs included elevated AST:ALT [...]