SOLVED3567

The patient, 40 years old, felt weakness, nausea, liquid tarry stools. On examination: consciousness maintained, tremor of the fingers. Skin is pale, with scratching. Pulse 106 per minute., BP-110/60 mm Hg, RR-14/min. Heart sounds are relaxed, rhythmic, and in lungs – vesicular breathing. Ascites, varicose veins of anterior abdominal wall, palpation of the abdomen, painless, the liver + 8 cm thick, the edge is sharp, tight, spleen + 6 cm. Blood: Hb 90 g / l, Er-3,5x 10^12/L, CI. – 0,95, glucose – 3.0 mmol / L, urea – 3.1 mmol / L, creatinine 0.19 micromol / l, bilirubin – 156 mmol / L (direct-78 mmol / l), ALT- 90 U/L, prothrombin 65%. The most reliable diagnosis is?
SCIENCE
HEALTH SCIENCE
NURSING

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