Vale

In the case of our patient, we fulfill both running criteria and also we have a high bilirubin ratio.

which makes me very concerned that the gallbladder is leaking somewhere under all this swelling, and I would have surgery on ward.

As I mentioned before, I'm thinking about this case as two problems.

First, the acute decompensation with the ascites plus inflammation, and then the subacute chronic ascites and changes on the liver.

This aliquot has helped us make a lot of progress on problem number one, but what about problem number two?

Maybe it is that I'm very stubborn, but I'm still thinking about the possibility of the MPN, or myoperative disorder, being behind this.

This patient has risk factors for vaso-occlusive disease affecting the irrigation of his liver, and I wonder if we didn't have an infection on top, we would see Zach more compatible with non-cirrhotic portal hypertension.