Elena Voss
High · 7047F · DOB 30 Jan 1979 · MRN RN-55102
Alcohol-related cirrhosis, Child-Pugh B, banded varices and diuretic-treated ascites. The live risks are encephalopathy, HRS and rebleeding.
Allergies: Morphine (pruritus)
For full active treatment · transplant candidate discussion open
Possible diuretic-related AKI / HRS
Creatinine up, sodium down, weight up — mixed picture of underfill and worsening ascites.
Hyponatraemia 129
Fluid restriction vs diuretic pause; avoid hypertonic unless seizing.
MELD-Na trajectory
Opens a transplant conversation while she is abstinent.
Clinical parameters
Bilirubin
48µmol/L
Ref <21
INR
1.5
Ref 0.9–1.2
Sodium
129mmol/L
Ref 135–145
Organ risk
Conditions
Alcohol-related cirrhosis
Child-Pugh B 8
Oesophageal varices
Banded ×2
Ascites
Previous alcohol withdrawal
Care team
Dr Omar Said
Hepatology
Dr Amara Okonkwo
Clinical pharmacology
Grace Adeyemi
Alcohol CNS
Next encounter
Day-case paracentesis planning
Sun 20 Sep · 13:20
Hep day unit · Dr Said