GI Emergencies: A Quick Reference Guide

Robert C. Lowe, MD; Francis A. Farraye, MD, MSc

Chapter 10: Complications Of Portal Hypertension (continued)

Aarti Kakkar, MD; David P. Nunes, MD

You receive the following call from an urgent care clinic: A 65-year-old man who recently emigrated from Vietnam presented to our office for his first physical. He reports a history of daily alcohol consumption, but stopped drinking alcohol several months ago. On exam: blood pressure (BP) 118/60, heart rate (HR) 72. He is anicteric with a normal abdominal exam, but you note gynecomastia. There are spider telangiectasias over his chest. Blood work shows the following results: platelets 110, international normalized ratio (INR) 1.20, aspartate aminotransferase (AST) 78, alanine transaminase…