]> 2026-07-31T14:08:02+00:00 WBR0628 0 en Refer him for portocaval shunt Octreotide for hematemesis Refer him for liver transplanation Observation and follow-up '''Incorrect''' : This patient has decompensated liver disease and hence just managing supportively is not an choice. Albumin infusion Emergency Room 64 year old Caucasian male, is brought to the emergency department by his family members because of an episode of bloody vomiting. He also complaints of fatigue, lethargy, malaise, anorexia, nausea and abdominal pain for the past few weeks. He is a chronic alcoholic for the past 25 years. He smokes 2 packs of cigarettes a day, but denies any illicit drug use. His past history is insignificant and his family history is unremarkable. His vitals are stable and there is no active bleeding. The physical examination shows spider angiomata, peripheral edema and mild heptomegaly. Other system examinations are normal. His serum biochemistry results are Na:135 mEq/L, K: 3 mEq/L, Cl:104mEq/L, Bi: 24 mEq/L, BUN: 30 mg/dl, glucose:126 mg/dl, Mg:1mg/dl and Ca: 8mg/dl. The liver fuction test results are as follows: Alanine aminotransferase : 70 U/L Aspartate aminotransferase : 50 U/L Alkaline phosphatase : 130 U/L Total bilirubin : 3.2 mg/dl Prothrombin time : 16 sec Serum albumin : 2.8 g/dl Hepatits A IgM : negative HbsAg : negative HBc Antibody : negative HCV Antibody : negative An USG abdomen reveals mild ascitis and his liver biopsy reveals micronodular cirrhosis. Which of the following is the most appropraite treatment option? C Gastrointestinal 2020-10-28T01:13:54Z 2459150.5513194 WBR0628