I was up all night trying to save this guy. He was transferred to the ward on Sunday. He has a history of chronic hep C and heavy drinking. He’s been through rehab twice, the last time 2 years ago. He reports drinking a 12-pack a day. He has no prior history of a GI bleed. In addition to his cirrhosis, he has type 2 diabetes, hypertension, hyperlipidemia, and mild COPD. And he still smokes a pack a day. Attending: How do his numbers look? Resident: blood pressure – 130/85; hematocrit – 35; glucose – 138; AST – 50; ALT – 45; total bili – 1.8; albumin – 2.5; INR – 1.6. Other chemistries look good. I don’t think he’s in liver failure. Attending: OK – let’s go see him. |
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