General Hospital Medicine   

Is there an absolute cutoff for AST/ALT that you use where the risks outweigh the potential harm reduction benefits of using the medication? &nbs...

Do you prescribe it universally or based on specific risk factors?

At what point do you feel comfortable using diuretics or performing a therapeutic paracentesis?

For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...

For example, what do you do when someone requests aggressive, life-prolonging treatments but then is not receptive to elements of day-to-day care in t...

What clinical, system, and/or social factors play into this decision?

How do factors like the presence of varices, severity of coagulopathy, etc., play into your decision?

Are there situations in which you would continue the possible offending agent with close monitoring?

For example, would you consider alternatives to paracentesis (Denver shunt placement, CART therapy, or permanent tunneled catheters) that might better...