Log in with your email address username.

×

Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

[Comment] Long-term albumin in cirrhosis: is it the ANSWER?

Ascites is the most frequent complication of cirrhosis and carries the worst prognosis.1 Although its development might be delayed by non-selective β-blockers,2 once ascites develops the patient progresses to refractory ascites, hyponatraemia, and renal dysfunction.3 This progression is due to worsening of portal pressure and worsening of the vasodilatory–hyperdynamic circulatory state, leading to progressive decrease in effective blood volume, cardiac dysfunction, and renal perfusion.4 Inflammation from overt or covert (bacterial translocation) infections is a major driver of progression.

email