Decompensated Chronic Liver Disease-2
Decompensated Chronic Liver Disease-2
Decompensated Chronic Liver Disease-2
SPO2: 97%
GRBS: 137 mg/dl
CNS: B/L pupil 3 mm RL
LAB INVESTIGATIONS
TESTS RESULTS NORMAL RANGE
Haemoglobin 9.8 14-17 g/dl
RBC 3.52 4.2-5.9 x 1012/L
WBC 11.65 4.0-10 x 109/L
Platelets 2 lakhs 150-350 x109/L
TSH 6.05 0.34-5.60 micro IU/ml
T3 0.41 0.87-1.78 ng/ml
T4 5.1 6.09-12.23 micro g/dl
Serum creatinine 1.15 0.6-1.2 mg/dl
BUN 10.70 8-20 mg/dl
TESTS RESULTS NORMAL RANGE
Na 128.4 135-145 mEq/L
K 3.08 3.5-5 mEq/L
Cl 89.5 95-105 mEq/L
Ca 7.0 8.5-10.5 mg/dl
Mg 1.47 1.5-2.4 mg/dl
ALT 22 0-35 units/L
AST 39 0-35 units/L
ALP 173 30-120 units/L
Albumin 1.77 3.3-4.8 g/dl
Vit B12 374 pg/ml 200-800 pg/ml
PT 18 sec 11-13 sec
INR 1.5 <1.1
❖Culture: No bacterial growth
❖Ascitic fluid: 16 U/L (ADA)
❖USG: Increased echo-texture with mild surface
irregularity gross ascites.
❖SPA doppler: Decreased PSV of main portal vein
?PHTN.
❖ASCITIC FLUID:
OTHER
INVESTIGATIONS Glucose- 133 mg/dl
Protein- 0.69 g/dl
Albumin- 0.29 g/dl
64 years old male/chronic alcoholic. K/c/o
ASSESSMENT hypothyroidism +
P/W DCLD with ascites.
TREATMENT
Drug Generic name Indication Dose Freq Roa Days