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Answer :
Final answer:
Managing a patient with cirrhosis, portal HTN, and acute onset hepatic hydrothorax involves medications, procedures, and even liver transplant as treatment options
Explanation:
Managing a patient with cirrhosis, portal HTN, and acute onset hepatic hydrothorax requires a comprehensive approach to address the underlying liver disease, portal hypertension, and fluid accumulation in the chest. Treatment options may include:
- Diuretics: Medications like spironolactone or furosemide may be prescribed to help reduce fluid retention in the body and control ascites, which is fluid accumulation in the abdominal cavity.
- Therapeutic paracentesis: This procedure involves removing excess fluid from the abdomen using a needle under sterile conditions. It can provide immediate relief from symptoms of ascites.
- Transjugular intrahepatic portosystemic shunt (TIPS): In certain cases, a TIPS procedure may be performed to relieve portal hypertension by creating a passage between the portal vein and hepatic vein.
- Liver transplant: In advanced stages of cirrhosis, a liver transplant may be considered as a treatment option.
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