A young male with Jaundice and Skin lesions

A young male aged 34 years Chief Complaints Jaundice (Progressive) Itchy skin lesions with red spots (as shown) (x20 days) Bleeding P/R (x3 days) Physical Examination Pallor(+) Icterus(++)

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Is the pt alcoholic? R/o cause of ascitis and icterus.adv CBC,LFT,KFT,PT INR,USG WA, ascitic fluid cyto bio GD, coagulation profile,viral markers. Tab RFX 550 mg bd,tab betagen TR 40 mg OD,tab tab aldctone 50 mg OD,tab dytor 10 mg od,syp lactulose 30 ml tds.

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Adv FFP if PTINR is deranged

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Cholestyramine would be good for itchy skin lesions associated with obstructive jaundice

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