Case 25

Alissa J. Walsh, Otto C. Buchel, Jane Collier and Simon P.L. Travis

in Oxford Case Histories in Gastroenterology and Hepatology

Published on behalf of Oxford University Press

Published in print March 2010 | ISBN: 9780199557899
Published online November 2012 | e-ISBN: 9780191753329 | DOI:

Series: Oxford Case Histories

Case 25

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A 62-year-old divorced defence lawyer presented with confusion and ascites. His daughters reported that ascites had been present for about a year. Apparently he had stopped drinking alcohol 6 months previously, but he had drunk about 20 units of alcohol per day for 30 years. Mild confusion had been present for 3 months, but it had become worse in the 2 weeks before admission. Medication at the time of presentation included lactulose, frusemide 80mg/day, and spironolactone 100mg/day. Intravenous 5% dextrose was administered on presentation to the emergency department.

Chapter.  1724 words. 

Subjects: Gastroenterology

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