Solve this exciting clinical case, specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. A 58-year-old man was brought after four hours of hematemesis. He also experienced bloody stools.
The patient had a medical history of alcoholic cirrhosis diagnosed three years ago. Laboratory findings Haemoglobin: 5.8 g/dL (13.5-18) Mean cell volume (MCV): 112 fL (78-100) White cell count (WCC): 14 000/µL (4000-10000) Platelet count: 92000/µL (150000-400000) International normalised ratio (INR): 1.80 Bilirubin: 0.5 mg/dL (0.2-1.0) Albumin: 3.2 g/dL (3.2-4.8) Aspartate aminotransferase (AST): 47 U/L (10-34) Alanine transaminase (ALT): 13 U/L (10-44) γ-glutamyl transpeptidase (GGT): 156 U/L (11-50) Endoscopy reveals large actively bleeding esophageal varices (Cover Image). References: BMJ Case Reports, MEDtube
