Case 141: Mini case 2

You are the IMT2 doctor on a gastroenterology ward. A 54 year old man has been admitted with decompensated alcoholic liver disease and has fevers with high CRP. As part of the ward round plan you have been asked to perform an ‘ascitic tap’ to determine whether he has spontaneous bacterial peritonitis (SBP). You review his admission blood tests from yesterday:

Hb 84, WCC 12.2, Plt 67

PT 22, APTT 45, Fibr 1.9

Does the patient require any blood product support before the procedure?

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