Bedside tests
John Perkins
Liver biopsy pathology report – handout available
Description: The sections show liver tissue with marked fibrosis and formation of regenerative nodules, consistent with cirrhosis. There is evidence of mild to moderate chronic inflammation. No evidence of dysplasia or malignancy is seen.
Impression: Cirrhosis, Stage 4 (Batts-Ludwig).
Other investigations
| Investigation | Case result |
|---|---|
| Bronchoscopy | Not indicated |
| Cardiac stress test | Not indicated |
| Colonoscopy | Not indicated |
| ECG | Normal |
| Fingerprick BGL/HbA1c/Lactate/Ketones | BGL 2.2 mmol/L |
| Gastroscopy | Distal oesophageal varices, no red marks |
| Liver biopsy | See above |
| Lumbar puncture | Normal |
| Oesophageal manometry | Normal |
| Rapid Covid Antigen Test | Negative |
| Rapid Strep Test | Normal |
| Spirometry/Lung Function Tests | Not indicated |
| Urine Dipstick | Dark urine. Increased bilirubin, urobilinogen, and ketones. |
| Urine Pregnancy Test | Negative |
| Vital signs report (HR, RR, BP, SatO2, Temperature) | Findings reported in Physical Exam |
