37

Blood Hb

____mg/dl

38

Platelet count

____×10⁹

39

Prothrombin time of patient

____seconds

40

Control Prothrombin time

____seconds

41

APTT of patient

____seconds

42

Control APTT

____seconds

43

HBsAg

1. Yes 2. No

44

HBV DNA

1. Yes 2. No

45

Anti-HCV

1. Yes 2. No

46

HCV RNA

1. Yes 2. No

47

Ultrasounds

1. Yes 2. No

48

CT/MRI of abdomen/chest

1. Yes 2. No

49

Barium studies

1. Yes 2. No

50

LFTs

1. Yes 2. No

51

Serum proteins

1. Yes 2. No

52

Ascitic fluid

1. Yes 2. No

53

H. pylori

1. Yes 2. No

54

Others