Abdominal pain, CT shows Liver cirrhosis

Chief Complaint A 76 y/o male presented with abdominal pain, loss of appetite and unintentional weight loss. History Past medical history is positive for RA & DM. No relevant family history. Vitals Vitals are wnl. Investigations Hb - 14 g/dL, WBC - 8,500/mcL, Platelet count 89000 mcL ALT level - 48 IU/L, AST 42 U/L Sodium 128 mEq/L, Creatinine 0.72 mg/dL, Total bilirubin 3.2 mg/dL CT shows liver cirrosis. Treatment What is your opinion on the management?

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Pt is diabetic but recent status is not available Liver cirrhosis with deranged LFTS and jaundice suggest viral hepatitis Thrombocytopenia+ Electrolytes suggest hyponatremia Loss of wt and appetite is relevent to hepatitis So r/o hepatitis B Correct hyponatremia Treat jaundice Hepatocellular regeneratives Antacids Ppis Multivitamins supplements Correct and control the bsl Digestive enzymes Keep followup

Thank you for your reply Sir, Diabetes is well controlled with medication. He is also taking medication for Arthritis.
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IT'S A..CASE OF.. DM .. WITH.. LIVER CIRRHOSIS.. HYPERBILLIRUBINEMIA.. ELEVATED LEVELS OF LFT .. ? JAUNDICE.. ? HEPATITIS.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. HEPATITIS VIRAL STUDY.. TREAT WITH.. LIVER TONICS.. GLUCOSE SUPPLEMENTS.. MULTIVITAMINS.. SYMPTOMATIC T/T..

Thank you sir
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Liver cirrhosis Look for cause Adv: viral panel or hepatitis virus marker Alcoholic or not Treat with conservative Tab liv 52 Correct hyponatremia Tab RBSON-D Tab Emset Multivitamins Control blood sugar

Thank you sir
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Liver failure in a case of cirrhosis of liver Adv L ornithine L Aspartate (Hepamerz) - it has been found to be useful in treatment of liver failure

Thank you sir
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History s/0 Ra in the past The drugs that used for ra causes liver cirrhosis Need to evaluate for ascities Check for liver enzymes and other parameters Triphasic ct is required for complete evaluation of li Need to ruleouut any maglinacy of liver

Thank you sir
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liver cirrhosis gadaapushya ras 1 tds, nimbark ras 1 tds ,suwarn trirekh ras 1 tds . these formulae are our well experienced from 10 yrs

Thanks mam
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Diabetes S proteins hepatitis good diet w ?ascitis amino acids

SUGGESTIVE OF CHRONIC LIVER CIRRHOSIS ADVISABLE... MAY. TRY.... ....... URSODIOL.... AND TREATING. THE... CAUSATIVE. FACTOR

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