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Answer :
Final answer:
A patient with cirrhosis and portal hypertension showing signs of confusion, thirst, and low blood pressure is a concern for serious complications such as infection or hepatic encephalopathy. These symptoms signal a need for urgent medical care and possible evaluation for a liver transplant.
Explanation:
The statement by a patient with cirrhosis and portal hypertension that is most concerning is a complaint of confusion and thirst with low blood pressure. This may indicate a serious complication such as spontaneous bacterial peritonitis leading to sepsis or hepatic encephalopathy, both of which require immediate medical intervention. Additionally, the presence of ascites further complicates the condition by increasing the risk of infection and signaling a poor prognosis without intervention like a liver transplant. Recognizing these symptoms promptly is crucial for the clinical management of the patient and may involve stabilization measures, assessment for transplant eligibility, and management of complications associated with cirrhosis. Other symptoms such as fatigue, jaundice, weight loss, and itchy skin may also occur as a result of liver cirrhosis and its effects on different organ systems.
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