{"id":14734,"date":"2020-11-24T09:10:06","date_gmt":"2020-11-24T09:10:06","guid":{"rendered":"http:\/\/onlineclassesguru.com\/index.php\/2020\/11\/24\/a-patient-with-a-long-history-of-cirrhosis-presents-with-asterixis-he-is-alert-and-oriented-toa-patient-with-a-long-history-of-cirrhosis-presents-with-asterixis-he-is-alert-and-oriented-to\/"},"modified":"2020-11-24T09:10:06","modified_gmt":"2020-11-24T09:10:06","slug":"a-patient-with-a-long-history-of-cirrhosis-presents-with-asterixis-he-is-alert-and-oriented-toa-patient-with-a-long-history-of-cirrhosis-presents-with-asterixis-he-is-alert-and-oriented-to","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2020\/11\/24\/a-patient-with-a-long-history-of-cirrhosis-presents-with-asterixis-he-is-alert-and-oriented-toa-patient-with-a-long-history-of-cirrhosis-presents-with-asterixis-he-is-alert-and-oriented-to\/","title":{"rendered":"A patient with a long history of cirrhosis presents with asterixis. He is alert and oriented toA patient with a long history of cirrhosis presents with asterixis. He is alert and oriented to"},"content":{"rendered":"<style type=\"text\/css\"><\/style><p>A patient with a long\u00a0<a href=\"https:\/\/homeworkhandlers.com\/history\/\">history<\/a>\u00a0of cirrhosis presents with asterixis. He is alert and oriented to person, place, and time. His breath is positive for fetor hepaticus. His abdomen is significant for caput medusae and a positive fluid wave. He has no focal neurologic deficit. His wife states that the patient is very functional at home but is moderately confused and drowsy. Which is the most helpful test to confirm the diagnosis in this patient? a. Serum lactate level b. Serum ammonia level c. Serum iron level d. Serum alkaline phosphatase level e. Serum sodium level<\/p>\n<p>&nbsp;<\/p>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>A patient with a long\u00a0history\u00a0of cirrhosis presents with asterixis. He is alert and oriented to person, place, and time. His breath is positive for fetor hepaticus. His abdomen is significant for caput medusae and a positive fluid wave. He has no focal neurologic deficit. His wife states that the patient is very functional at home&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-14734","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A patient with a long history of cirrhosis presents with asterixis. He is alert and oriented toA patient with a long history of cirrhosis presents with asterixis. 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His breath is positive for fetor hepaticus. His abdomen is significant for caput medusae and a positive fluid wave. He has no focal neurologic deficit. 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