Medical Viva

Sarcoidosis with Liver Cirrhosis for Variceal Banding

Reading Time

2:00

Clinical Stem

2023.2
You are asked to review a 70-year-old gentleman in the preadmission clinic. He has been referred for assessment prior to a gastroscopy for variceal banding in four weeks' time. Past Medical History Cirrhosis secondary to sarcoidosis Medications Ferrous sulfate/ascorbic acid 325 mg/500 mg daily Propranolol 10 mg twice a day Pantoprazole 40 mg daily Ursodeoxycholic acid 30 mg daily Observations Height 180 cm Weight 65 kg Body Mass Index 20 kg/m2 Blood pressure 110/80 mmHg Heart rate 80 beats per minute SpO2 95% on room air Temperature 36.5 oC Available investigations: CXR ECG Iron studies Liver function tests

Sections covered in this viva

History and Examination of SarcoidosisSigns and Symptoms of Advanced Liver DiseaseInvestigation Interpretation and Disease Severity

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