Question of the Week # 104

104) A 65 year old man presents to your office with increasing abdominal distension and bilateral leg swelling. He is accompanied by his daughter. He reports his symptoms started 3 months ago and progressively worsening. He smokes about one pack cigarettes per day and drinks one pint vodka every day. His last drink was 1 day ago. On examination, he is afebrile and he has abdominal distension and ascites with out any tenderness on palpation. Lab studies show  WBC 8k/µl, Hemoglobin of 10.2 gm%, Platelets 90k/µl, Total protein of 6.4, Albumin 2.2, SGOT 300, SGPT 130, Total Bilirubin 4.2 , Direct Bilirubin 3.3, Prothrombin time of 19 seconds and Creatinine 2.2. Ultrasound reveals cirrhosis of the liver and splenomegaly. The daughter asks  you if her father can be considered for Liver transplantation. The most common indication for liver transplantation in the United States :

A) Alcoholic Liver Disease

B)Chronic  Hepatitis B

C) Acute Liver Failure

D) Hepatitis C

E) Primary Biliary Cirrhosis

6 Responses

  1. c….

  2. i mean hepatitis c…ans is d..

  3. d

  4. ans. C

  5. Is it D?? Hepatitis C

  6. A: in the US

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