Correct Answer

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The hepatic damage could be due to acetaldehyde, acetaminophen, aflatoxin, Amanita phalloides, CCl4, a variety of other chlorinated hydrocarbons, halothane, phenol, phosphorus or valproic acid while the anion gap alterations may be due to acetaminophen, adrenergic medications, CO, CN, Fe, isoniazid, salicylates, theophylline, toxic alcohols, or valproic acid. A GC-MS profile would like test for high concentrations of acetaminophen and metabolite sin the plasma.