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PCCN Progressive Care Certified Nursing

Category - PCCN

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A 60-year-old male, with a known case of hepatitis C virus infection, presented in medical emergency in altered state of consciousness with an abnormal smell coming from him. On examination he had ascites, palmar erythema, ankle edema, bruises and purpurae all over the body. His testes were small. What diagnosis you make in your mind about the patient?
  1. Decompensated cirrhosis liver
  2. Compensated cirrhosis liver
  3. Acute viral hepatitis
  4. Hepatomegaly
Explanation
Answer: A - The diagnosis of the patient is Decompensated Cirrhosis liver because when the disease decompensates, fluid starts accumulating all over the body resulting in ascites and ankle edema. Moreover, palmar erythema is also present in Cirrhosis liver. Purpuric rashes are due to decreased platelet count which occurs in Decompensated Cirrhosis due to hypersplenism.
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