The patient was also treated supportively with two liters of intravenous fluids to address hypotension, and she was administered 50 mg of intravenous ketorolac (Toradol; Roche, Basel, Switzerland) for symptomatic relief.Laboratory testing revealed leukocytosis with a white blood cell count of 13.9 x109/L, neutrophil predominance (12.07 x109/L), elevated transaminases with alanine aminotransferase (ALT) of 124 U/L, and aspartate aminotransferase (AST) of 64 U/L, and elevated alkaline phosphatase at 379 U/L. The gene discussed is GPT; the disease is Increased total leukocyte count.