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Diagnostic Case Study: Increased Intra-Abdominal Pressure Brief Patient History Mr. V is a 42-year-old man with chronic viral hepatitis C. He has a Model for End-Stage Liver Disease (MELD) score above 25. Mr. V is in hepatic failure and is on the waiting list to receive a liver transplant. He was hospitalized 2 weeks ago with ascites, hepatorenal syndrome, and hepatic encephalopathy. He has been treated with diuretics, antibiotics, and laxatives. He has remained in the intermediate care unit until now. His abdomen has become progressively distended and firm.
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