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+--- Thread: capture qs from few clues - vanco (/showthread.php?tid=368433)
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capture qs from few clues - vanco - ArchivalUser - 12-11-2008
51 yrs old, presents to you with sever fatique, and increasing janudice, he is known Hep C patient, remained drug abuser for 20 yrs, over the 6 months developed 2 episodes of esophageal varicies bleeding, bitemporal wasting, icteric. liver 7cm palpable, splenomegaly, biluirbin 13, PT 19. albumin 2.1 and severe leg edema. most appr treatment of this patient at this time?
1. liver trasplant
2. mesocaval shunt
3. interferon
4. interferon plus ribavirn
5. ribavirin
6. IV octeride
0 - ArchivalUser - 12-11-2008
111?
0 - ArchivalUser - 12-11-2008
444
0 - ArchivalUser - 12-11-2008
222
0 - ArchivalUser - 12-11-2008
22
0 - ArchivalUser - 12-11-2008
111.He has fulminant hepatitis, the only treatment at this point is transplantation.
0 - ArchivalUser - 12-11-2008
222
0 - ArchivalUser - 12-11-2008
2???
0 - ArchivalUser - 12-11-2008
1:HCV and hepatorenal failure?
0 - ArchivalUser - 12-11-2008
the ist thing is to treat portal hypertension ist with mesocaval shunt.
then treat Hepc and transplant.
222, any comments