Hepatic injury can manifest in several forms, often classified as hepatocellular, cholestatic, or mixed. Hepatocellular injury involves damage to the liver cells, often caused by drugs like acetaminophen. Cholestatic injury affects bile formation or flow, and can be caused by anabolic steroids or certain antibiotics. Mixed injury features characteristics of both hepatocellular and cholestatic damage. Identifying the type of injury is essential for diagnosis and management.