What is your clinical approach to the evaluation of cytopenias in patients with end-stage liver disease?  

Cytopenias may be the new normal for a patient with cirrhosis. However, they may not be. If a patient has isolated thrombocytopenia and a large spleen, I am typically going to monitor labs on the standard labs with each visit. Isolated mild leukopenia is the same pattern as well. Anemia requires a w...