Chronic Liver Disease in Pediatrics — 10yo Child | Pediatric Gastroenterology | SMLE Q#18692
SMLE Question #18692
Pediatrics
Pediatric Gastroenterology
Objective: OBJ-289
Last updated: February 2026
A 10-year-old child with chronic liver disease and cirrhosis is brought to the emergency department for 1 day of progressive confusion and sleepiness. The family reports 1 week of irritability and declining school performance. The child is disoriented with slurred speech and has asterixis. There are no focal neurologic deficits and no evidence of head trauma. What is the most appropriate initial management for this presentation?
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