sandra
Forum Guru
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A 44-year-old-man presents for evaluation of increased abdominal girth. There has been no fever, chills, weight loss, or abdominal pain. He has also noted increased lower-extremity edema. Physical examination reveals that he is mildly icteric. The abdomen is nontender, but tense ascites are noted. There is lower extremity edema, spider angioma, and palmar erythema. Laboratory analysis reveals: WBC 2,500/mm3, hematocrit 33%, platelets 77,000/mm3, sodium 123 mEq/L, albumin 2.2 g/dL, bilirubin 3.3 mg/dL, AST 121 U/L, and ALT 88 U/L. Which of the following statements regarding this patient is false?
(A) The patient has end-stage liver disease, Child's class C cirrhosis
(B) If the ascites albumin is greater than 1.1, a malignancy may exist
(C) The low platelet count is typically due to portal hypertension
(D) Viral hepatitis A, B, or C could have caused this problem
(E) The low sodium portends a poor prognosis
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You become what you think you are!
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| guangyu
Forum Elite
Topics: 29
Posts: 308
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D
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| nyimalay
Forum Elite
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D
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| Markus2009
Forum Senior
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Hepatitis A won't cause this clinical picture------->D
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| solitarius
Forum Junior
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Posts: 71
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Answer is D
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