Patient (condition)
 
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Ascertain the presence chronic liver disease on history/examination and evaluate their extent if signs/symptoms present.

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Clarify duration and extent of alcohol consumption.

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Consider coagulation screen to rule out coagulopathy secondary to synthetic liver failure.

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Consider full blood count to rule out anemia of chronic disease, or splenomegalic thrombocytopaenia secondary to portal hypertension.

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Consider liver function tests to look for hyoalbuminemia due to malnutrition or synthetic failure. Note that liver enzymes may be normal in cirrhotic liver disease.

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