Perplexed

Gastrointestinal System


Step 1: View Clinicals

{"ops":[{"insert":"A 48 year old man presents with progressively worsening dyspnea for 3 months, which is worse when sitting up. There is no history of fever, cough or chest pain and he is otherwise asymptomatic.\n\nHe was diagnosed with alcoholic cirrhosis 5 years ago, following which he stopped drinking. An upper GI endoscopy performed 6 months ago showed grade II esophageal varices, which were banded.\n\nA chest x-ray and ECG are performed and found to be normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-005_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Full Blood Count
2. Arterial Blood Gases
3. Contrast CT Chest
4. Echocardiography

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