Abstract
A 59-year-old woman with a history of chronic kidney disease and impending uremia was admitted to our emergency department due to general weakness. Physical examination revealed pale conjunctiva, icteric sclera, abdominal tenderness, engorged jugular vein, tachycardia (heart rate, 110 beats/min) and hypotension (blood pressure, 63/32 mmHg). Laboratory investigation showed that the hemoglobin, aspartate aminotransferase, alanine aminotransferase, total bilirubin and direct …
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