I had a patient today who was admitted with a diagnosis of acute pancreatitis. His abd ultrasound also showed enlarged fatty liver. He had a history of alcohol abuse. When he got to me on the med/surg floor, his AST & ALT were trending down but his bilirubin and ALP were still elevated. He had a fever of 102.3, so I notified attending & asked about Tylenol for the fever. Attending said ok to order the Tylenol 650 mg po q6 hours PRN fever & also ordered UA/C&S and a procalcitonin level. I gave the Tylenol & the fever came down to 99.7. I handed off to the next shift, so now I'm done for the day but I can't sleep because I'm worried that the patient should not have had Tylenol ordered with his elevated LFTs. Does anyone know if it is ok to have Tylenol with elevated LFTs/fatty liver in the context of acute pancreatitis? Thanks a lot!