1. Understand the common physiological and metabolic changes that occur with decompensated liver cirrhosis. 2. Differentiate between stages of cirrhosis and recognize predisposing factors for decompensation. 3. Describe the most common clinical presentations of decompensated cirrhosis and formulate a differential diagnosis. 4. Develop a step-by-step approach for diagnosing and managing medically unstable patients and those facing liver transplantation. 5. Discuss the goals of medical management in decompensated cirrhosis, current treatment options, prognosis, and other aspects of disease management.