Green Urine

A 42-year-old chronic alcoholic, nondrug addict male patient with a normal sexual and marital history was brought by relatives to the emergency department of Government Medical College, Kota. He had gradually increasing yellow discoloration of eyes and body for 7 days, progressively worsening altered sensorium for 4 days, up to the extent of not being able to recognize family members for the last 2 days. There was no history of any drug intake. On examination, vitals were in the normal range with blood pressure (BP) 130/80 mm Hg, pulse rate (PR) 80/min, peripheral oxygen saturation (SpO₂) 98% at room air, no pallor, and deep icterus was present. The patient was irritable, disoriented, semiconscious, and not responding to commands. Bilateral plantar reflex was extensor. P/A examination showed generalized distension and nontender 4 cm firm hepatomegaly.