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26th February 2025
A 30-year-old male is admitted to hospital with abdominal pain and swelling.
A 30-year-old male is admitted to hospital with abdominal pain and swelling. He is found to have Budd-Chiari syndrome. He has never had a clotting event previously and has no other health problems. He does not use recreational drugs.
Blood tests are as follows:
| Admission | Normal Range | |
|---|---|---|
| Hb | 135 | (135-170) |
| WCC | 8.4 | (3.5-11.0) |
| Plt | 110 | (140-400) |
| Neut | 6.2 | (1.7-7.5) |
| ESR | 35 | (2.1-7.1) |
| INR | 1.1 | (0.9-1.2) |
| APTT | 42 | (24.7-37) |
| Na | 137 | (135-145) |
| K | 4.1 | (3.5-5.1) |
| Urea | 3.4 | (2.1-7.1) |
| Creat | 61 | (49-92) |
| eGFR | >90 | |
| CRP | <1 | (0-5) |
| Anti-B2-glycoprotein 1 IgG | 53 | (0-10) |
| Anti-cardiolipin IgG | 52 | (0-10) |
Given the likely underlying diagnosis, what is the most appropriate management?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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