The first patient scenario showed jaundice appearing before the ascites, shouldn’t that point toward subacute liver failure more than a chronic Decompensated cirrhosis?
I agree that just the chronology of jaundice followed by ascites within the given duration should make subacute liver failure one differential. However, I would stick to the diagnosis of Decompensated chronic liver disease, as subacute liver failure the diagnosis is to be limited to patients with pre-existing normal liver. This particular patient scenario one had pre-existing risk factors on history and USG also showed features of chronic changes.
The first patient scenario showed jaundice appearing before the ascites, shouldn’t that point toward subacute liver failure more than a chronic Decompensated cirrhosis?
I agree that just the chronology of jaundice followed by ascites within the given duration should make subacute liver failure one differential. However, I would stick to the diagnosis of Decompensated chronic liver disease, as subacute liver failure the diagnosis is to be limited to patients with pre-existing normal liver. This particular patient scenario one had pre-existing risk factors on history and USG also showed features of chronic changes.