Hospital Medicine   

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

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?

Do you find risk scores such as VOCAL-Penn to be helpful?

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...