Questions for Discussion:

1. What is the risk of acquiring hepatitis from blood transfusions?  What kinds of hepatitis can be transmitted via transfusion?  What reduces this risk?
   
2. What problem are you observing in this patient at this time?  What do the ultrasound findings tell you?  What would you do for this patient at this time?
   
3. What is the likely diagnosis at this time?  Defend your diagnosis.
   
4. What information would be gained from a liver biopsy?  What information would be gained from an UGI endoscopy?
   
5. What treatment might you consider for this patient?  Is the patient infectious to family members?  To sexual partners?  To health care providers?  What precautions should be taken?
   
6. What are the most common complications of chronic liver disease? What strategies are available to prevent these?  When should hepatic transplantation be considered?
7. What is your differential diagnosis and plan?
   
8. What is your differential diagnosis? What should be done to investigate the cause of fever and abdominal pain?
   
9. Please interpret ascitic fluid results.  What is the cause of his mental status changes? How should it be treated?
   
10. What are the possible causes for decline in renal function? How can you differentiate between these causes?
     

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