Tuesday, July 12, 2011

Decompensated cirrhosis



Morning report today was a case of fever and decompensated cirrhosis. A prior post on cirrhosis with a link to a good lancet article on management here.



A reminder of the Child-Pugh score above, with total points giving grades A (5-6 ) B (7-9) and C (10-15) and higher mortality with inreasing points/grade.

2 comments:

  1. So is possible that HIV Disease can be cured because I have been scammed so many times not until I came across this great man herbalist Dr Akhigbe who helped me at first I never believe all this comment and post about him and I was very sick because I have been infected with HIV/AIDS for the past two year,just last 2 months I keep reading the testimony about this man named Dr Akhigbe they said that the man is so powerful he have cured different type of diseases, I keep monitoring his post of some people about this man and I found out that he was real so I decided to give him a trial I contacted him for help and he said he was going to help me get my cure that all I needed to do was to send him money to prepare the medication after which it will be sent to me via DHL courier delivery services which I did to my greatest surprise the medication was sent to me he gave me instructions to follow on how to drink it that after  three weeks I should go for check up,after taking the medicine and follow his instruction after three weeks I went back to the hospital for another test, at first I was shocked when the doctor told me that I was  negative I ask the doctor to check again and the result was still the same negative that was how I free from  HIV VIRUS at of the shock I decided to come and share my own testimony with you for those who think there is no cure for HIV VIRUS the cure as finally come'  out stop doubting and contact Dr Akhigbe via email drrealakhigbe@gmail.com he will help you out you can also whatsApp him via +2348142454860 he is also perfect in curing DIABETICS,HERPES,HIV/AIDS, ;ALS,  CANCER , MALARIA , BACTERIA DIARRJHEA, MENINGITIS,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA, KIDNEY DISEASE,, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, OSTEOPOROSIS, RABIESRHEUMATISM, THYROID, GALLSTONE, COLD & FLU, CIRRHOSIS, DENGUE FEVER, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, PROGERIA, EATING DISORDER, LOWER RESPIRATORY INFECTION. etc believe me that deadly disease is not longer a deadly sentence because dr akhigbe has the cure.the godfather of herbal root.email: drrealakhigbe@gmail.com         whatsapp number.  +2349010754824 website: https://drrealakhigbe.weebly.com

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  2. For years, I have read and seen the advertisements in the mass media about all of the penis enhancement pills and thought that they were all scams or gimmicks. All of the medical sites that I have visited stated that none of the herbal supplements would ever help increase the size of a penis. I got very depressed when I read this, because unfortunately I was not naturally blessed with a penis that was big enough to arouse my sexual partner or past partners. I am a man that is past my sexual primetime and my sexual performance has a lot to be desired. I decided to try Doctoc Akhigbe herbal medicine after all the reading and researching that I have done.I saw a testimony " Joe" about doctror Akhigbe Herbal Medicine Since there is a Money Back Guarantee, I give him a trial what did I have to lose? I couldn't believe the results I was seeing after drinking the Natural  Herbal Medicine  and Herbal Soap to be rubign my penis! he sent to me through DHL courier delivery service . Within about 2 weeks I had a noticeable increase in the girth of my penis. Then after a coupleof aditional week it started to grow in length and I was amazed and very excited.before I finish the drink and the soap my penis had grown an additional two inches. I've had a considerable improvement with my sex life and these pills are certainly worth every penny I spent on them! I want to thank Dr Akhigbe for the time and effort they have spent on helping people in my situation.I know many are out there who are suffering this problem and they need help, email him.    drrealakhigbe@gmail.com.    He also cure other diseases like: . HIV/ AIDS. JOINT PAIN, BREAST ENLARGEMENT. DIABETIES.  HERPES. AUTISM . NO PRIOD.  CHRONIC DISEASES. LUPUS . MALE AND FEMALE FERTILITY. WAST & BACK PAIN. CANCER . DISCHARGE FROM BREAST PAIN, BREAST INFECTION. PARKINSON DISEASES.  WOMEN SEXUAL PROBLEM.  VAGINAL INFECTION. IRREGULAR MENSTRATION , PAIN & ITCHING . LOWER ABDOMINAL PAIN PAIN DURING SEX INSIDE THE PELVIC . PREMATURE EJACULATION.  PAIN DURING URINATION. PELVIC INFLAMATORY DISEASES , VAGINAL DISCHARGE. (PID). DRIPPING OF SPERM FROM THE VAGINAL AS WELL AS FOR LOW SPERM COUNT. TUBERCULOSIS. CIRRHOSIS .    ITCHING OF THE PRIVATE PART. ZERO SPERM COUNT.  ASTHMA.  . ,  EJACULATION. WEAK ERECTION. ERYSIPELAS, DISCHARGE FROM PENIS . HPV. QUICK EJACULATION. HEPATITIS A & B. STD. STAPHYLOCOCCUS + GONORRHEA + SYPHILIS. HEART DISEASE.  PILE-HEMORRHOID. HIGH BLOOD PRESSURE. RHIUMATISM, THYROID, PENIS ENLARGEMENT  .   For your cure email him now:   drrealakhigbe@gmail.com    or Contact his numbe:  +2349010754824.

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