You started Ms. Gray on rosuvastatin 40 mg after an MI 6 months ago. She is doing well and reports cardiac rehab went well. She thinks that MI was a wakeup call for her to get her health in shape. She presents today for follow up of her HTN, hyperlipidemia and Type 2 Diabetes. Her medications include Lisinopril 20 mg, metoprolol 25 mg Q12H, aspirin 81 mg, rosuvastatin 40 mg and metformin 500mg BID. She just repeated her labs which are normal except liver enzymes were: ALT 48 (0-32) and AST 20 (0-40). What would be the next appropriate action? (5 points) A. Stop Rosuvastatin immediately B. Urgent referral to GI specialist C. Compare to other levels and repeat in 3 months D. Order an abdominal CT scan of the abdomen with/without contrast What is the rationale for your answer?
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