 The patient's liver function tests are all out of whack and his alkaline phosphatase is 226, ALT is 539, CK 1103, INR 1.66, and ammonia level of 55. 
The patient 's liver function tests are all out of whack and his alkaline phosphatase is 226 , ALT is 539 , CK 1103 , INR 1.66 , and ammonia level of 55 .