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  1. P SCHWAB,
  1. Division of Internal Medicine
  2. University of Texas Health Science Center at Houston
  3. Correspondence to: Dr Shehzad Basaria, Division of Endocrinlogy and Metabolism
  4. Johns Hopkins University School of Medicine
  5. 1830 E Monument Street, Suite 332
  6. Baltimore, MD 21287, USA

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    A 54 year old man with Child's C liver cirrhosis resulting from alcohol abuse presented with pleuritic right upper quadrant abdominal pain. He did not have ascites or any history of gastrointestinal bleeding. On examination, his liver …

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