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Case 25 

Case 25
Chapter:
Case 25
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.25
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date: 22 October 2019

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.

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