A 44 yo male w/ a history of heavy alcohol consumption presents to the ER w/ a nosebleed. Local pressure is applied, and the bleeding remits. However hepatomegaly, ascites and the flapping tremor are noted on P/E. which of the following is the worst prognostic factor for this patient?
A. High AST
B. High GGT
C. Prolonged PT
D. Prolonged BT
E. High Fibrinogen.
The above patient has clinical findings consistent with alcoholic cirrhosis. The serum albumin and the PT are indicators of the livers synthetic function. And hence Hypoalbuminemia and prolonged PT are signs of liver failure and indicate a poor prognosis.
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