Question 36 · LEK · Cirrhosis
A 45-year-old female with liver cirrhosis related to HCV infection complains of marked fatigue and dyspnea aggravating after standing up from a lying position. Laboratory tests excluded anemia and sideropenia. The CRP concentration is normal. The chest X-ray is normal. Which of the following should be performed to explain the probable cause of the complaints?
- A. doppler ultrasonography of abdominal blood vessels and electrocardiography (ECG).
- B. spirometry and stress test.
- C. echocardiography and cardiac catheterization.
- D. arterial-blood gas test and echocardiography with the use of shaken normal saline solution.
- E. ferritin concentration and magnetic resonance of the abdomen.
Hint
Breathlessness worse when upright in a cirrhotic patient suggests intrapulmonary shunting — which tests show hypoxaemia and the shunt itself?
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