Portal vein thrombosis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 58-year-old man presents to the emergency department for evaluation of progressive abdominal distention and pain over the past 2 days. He has a history of alcohol-associated cirrhosis that was diagnosed 7 years ago. A recent contrast-enhanced computed tomography (CT) scan diagnosed hepatocellular carcinoma. Temperature is 37℃ (98.6℉), pulse is 95/min, respirations are 18/min, blood pressure is 122/84 mmHg, and oxygen saturation is 98% on room air. Abdominal examination reveals a distended and tender abdomen without rebound or guarding. There is a positive fluid wave and spider angiomas are present. An ultrasound with Doppler of the abdomen shows impaired blood flow and a hyperechoic mass extending into the portal vein. Which of the following is the best next step in management?

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