Case Background

You are the FY1 doctor on the gastroenterology ward. The nurse has alerted you about a 56-year-old man with alcohol-related liver cirrhosis who has become febrile, developed altered mental status and is complaining of abdominal pain .

He was admitted three days ago due to decompensated liver disease, with tense ascites. His ascites required paracentesis on admission, with results of the fluid analysis pending.

The nurse reports that his NEWS score is 7

Respiratory Rate (RR): 20 breaths/min

Oxygen Saturation (SpO₂): 96% on room air

Temperature: 38.3°C

Blood Pressure (BP): 109/62 mmHg

Pulse: 123 bpm

Consciousness: Confused

What would you do next?

Perform an A-E!

Click here for a summary of an A-E Examination

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Copy of FY1 Gastroenterology Rotation

Case Background

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