Concluded Case

Alcoholic liver disease

Patient c/o pain abdomen, Nausea, Abdomen distension, anorexia, burning sensation in urine History NAD, having chronic alcoholic but not touch wine since March 2020 Vitals Bp 100/60 Pulse 67 Temp 98.6 RR 16 Spot 95 Investigations Investigation attached  alpha-fetoprotein (AFP) :- 12.5 Diagnosis ALC with HCV,Ascitis Management Pls suggest ur valuable comments

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Concluded answer

Cirrhosis of liver due to Alcohol + HCV with decompensation in form of ascites with detectable HCV RNA. Treatment will include Sofosbuvir + Velpatasvir + Ribavirin X 12 weeks along with diuretics. Also, do an EGD and accordingly start NSBB.

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ALD with increased alpha fetoprotein Not touching to alcohol only contribute to withdrawals but an alcoholic having liver cirrhosis will pass through all liver complications hence we need to manage as ALD

Edited In this case ascitis with reverse a/g ratio Hepatosplenomegaly Grossly in hepatorenal failure
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Cirrhosis of liver due to Alcohol + HCV with decompensation in form of ascites with detectable HCV RNA. Treatment will include Sofosbuvir + Velpatasvir + Ribavirin X 12 weeks along with diuretics. Also, do an EGD and accordingly start NSBB.

CLD with Hepatosplenomegaly/Cholecystitis/Peritonial Ascites

Uti Send urine culture Treat uti After that ascitic fluid examination

Thank you doctor
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Start Antiviral And cect abdomen

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