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. Case presentation A 30-year-old woman presented with painless jaundice.
History The woman had a history of alcohol use disorder. Physical investigations revealed – Fever, tachycardia, and hypotension Diffused jaundice and confusion A distended and non-tender stomach with a fluid wave Scleral icterus, numerous spider angiomata on the chest, with bilateral lower extremity edema Laboratory investigations revealed – Mayo end-stage liver disease - Na score of 44 Maddrey’s discriminant function of 105.5 Absence of acute viral hepatitis, Wilson’s disease, and autoimmune hepatitis Presence of cytomegalovirus IgG but not IgM A liver MRI with and without contrast demonstrated a cirrhosis-like liver. Further observations The…
