A 44-year-old man with a history of heavy alcohol consumption comes to the emergency department with a nosebleed after getting into a fight while intoxicated. Continuous local pressure is applied and his bleeding resolves within 30 minutes. A detailed physical examination is performed after the bleeding subsides and shows distended paraumbilical veins, ascites, and a flapping hand tremor on wrist extension. Which of the following laboratory findings would be most indicative of a poor prognosis for this patient? O A. High aspartate aminotransferase O B. High fibrinogen levels O C. High gamma glutamyl transferase D. Prolonged bleeding time O E. Prolonged prothrombin time

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A 44-year-old man with a history of heavy alcohol consumption comes to the
emergency department with a nosebleed after getting into a fight while intoxicated.
Continuous local pressure is applied and his bleeding resolves within 30 minutes. A
detailed physical examination is performed after the bleeding subsides and shows
distended paraumbilical veins, ascites, and a flapping hand tremor on wrist
extension. Which of the following laboratory findings would be most indicative of a
poor prognosis for this patient?
127
O A. High aspartate aminotransferase
O B. High fibrinogen levels
O C. High gamma glutamyl transferase
O D. Prolonged bleeding time
O E. Prolonged prothrombin time
Transcribed Image Text:A 44-year-old man with a history of heavy alcohol consumption comes to the emergency department with a nosebleed after getting into a fight while intoxicated. Continuous local pressure is applied and his bleeding resolves within 30 minutes. A detailed physical examination is performed after the bleeding subsides and shows distended paraumbilical veins, ascites, and a flapping hand tremor on wrist extension. Which of the following laboratory findings would be most indicative of a poor prognosis for this patient? 127 O A. High aspartate aminotransferase O B. High fibrinogen levels O C. High gamma glutamyl transferase O D. Prolonged bleeding time O E. Prolonged prothrombin time
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