Dr. Narendra Kumar (Internal Medicine) needs a second opinion on this medical case.
A 76 y/o male presented with abdominal pain, loss of appetite and unintentional weight loss.
Past medical history is positive for RA & DM.
No relevant family history.
Vitals are wnl.
Hb - 14 g/dL, WBC - 8,500/mcL, Platelet count 89000 mcL
ALT level - 48 IU/L, AST 42 U/L
Sodium 128 mEq/L, Creatinine 0.72 mg/dL, Total bilirubin 3.2 mg/dL
CT shows liver cirrosis.
What is your opinion on the management?