? Pre hepatic Coma with severe Viral Hepatitis

21 years female had moderate fever 8days back Prodroms anorexia, nausea ,vomiting,deep colour urine,drowsiness,pain Rt.hypochond. can't stand n walk,clay coloured stool with mild itching. O/E Hepatosplenomegaly,Conjunctiva pale Lab investigations:-CBC--WNL,Malaria antigen. negative,S.Bil.13.3 mg%OT-1829 PT 2890units HBV,HCV -Neg. HAV +ve,INR -1.75 Dx nd Treatment

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