CASE OF THE MONTH

2010

June


CLINICAL HISTORY:
An 83-year old lady with good past health presents with congestive heart failure symptoms, complaining of dyspnoea, orthopnoea and ankle oedema since three days ago. Routine blood tests find deranged liver function (bili 37, ALT 22, ALP 288) and clotting profile (INR 1.5).

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