CIRRHOSIS Pathophysiology Complications What is Cirrhosis Cirrhosis Definition
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CIRRHOSIS Pathophysiology & Complications
What is Cirrhosis?
Cirrhosis Definition: Hepatic necrosis and degeneration combined with hepatic regeneration and fibrosis leading to Nodular formation
Normal liver functions Carbohydrate Metabolism Hypo- or hyperglycemia Fatty Acids Metabolism Lipid Transport Hyper- or hypolipidemia Proteins Metabolism Serum Albumin Vitamin K–Dependent Blood Coagulation Proteins Bilirubin Metabolism Bile Production Fat-Soluble Vitamins Detoxification Drugs and hormones Providing continual source of energy for entire body Regulation of storage and modulate availability of systemic nutrients Subject to hormonal modulation by endocrine organs (Pancreas, adrenal gland, and thyroid, neuronal regulation)
1. Atrterial System 3. Venous System 2. Capillary System
5. Venous System 4. Second Visceral Capillary System 3. Venous System 2. First Visceral Capillary System 3. Visceral Venous System 2. Capillary System 1. Atrterial System
Normal Liver Histology CV 2 -3 mm. Hg 6 mm. Hg PV
None = 0 Portal Fibrosis = 1 Bridging Fibrosis = 3 Cirrhosis = 4
What is patophysiology of Cirrhosis?
Cirrhosis Causes (Etiology of chronic necrosis) + Host (Liver reaction) Lead to Cirrhosis & complications
What is clinical manifestation of Cirrhosis?
Cirrhosis Clinical manifestations: - No symptoms (routine examination) 40% - Impaired hepatocellular function (Liver failure) - Portal hypertension - Clinical manifestation of underlying disease
What is natural history of Cirrhosis?
How do you make diagnosis of cirrhosis?
Cirrhosis Clinical work up: 1. Nature (Causes, Diseases) 2. Severity (Fibrosis, Complications)
Cirrhosis Diagnostic approach: 1. Liver function tests (PT, Pr. , Alb, Bili, PLT) 2. Liver damage tests (AST>ALT, Alk. Ph) 3. Liver ultrasound (nodularity, decrease in size, portal vein enlargment, prominent left lobe) 4. Etiological diagnostic tests 5. Liver biopsy 6. Surveillance tests (AFP, sonography, endoscopy, pracentesis, creatinine)
What is general clinical management of cirrhosis?
Cirrhosis Clinical management: 1. Etiological treatment 2. Prophylactic treatment 3. Pre-transplantation care 4. Liver transplantation
- Portal hypertension
- Types of cirrhosis
- Etiology of bronchial asthma
- Asthma pathophysiology
- Thyroid
- Eswl complications
- Complications c section
- Duodenal switch complications
- Complications of shigellosis
- Rota-trach tracheostomy tube
- Non atopic asthma
- Cva complications
- Light's criteria
- Eclampsia definicion
- Score de bishop
- Post dated pregnancy complications
- Episiotomy complications
- Complications of blood transfusion
- Bronchoscopy complications
- Neph tubes
- Herpes zoster
- Bronchoscopy complications
- Dr tachere
- Kesselbachs plexus
- Dialysis purpose
- Phlegmasia cerulea dolens definition
- Abdominal insufflation complications
- Iliac stent complications
- Heart failure complications
- Complications of blood transfusion
- Ng tube complications
- Complications of gestational diabetes
- Complications c section
- Central venous line complications
- Post operative care of lscs mother ppt
- Complications c section
- Blood transfusion complications
- What are the complications of blood transfusion
- Blood transfusion requirements
- Hyperlipidemia complications
- Dr vinita das
- Hemolytic transfusion reaction
- Status asthmaticus
- What is a short story about
- Dopamine rash sle
- Septic arthritis complications
- Susibtable
- Walid radwan
- Brain hemorrhage
- Complications of hydrocephalus
- Complications of hydrocephalus
- Massive transfusion complication
- Diolopia
- Septic arthritis complications
- Sumeet garg
- 15yo
- Elements of setting
- Iv extravasation pictures
- Principle of plaster of paris
- Nursing responsibility of colostomy care
- Gastrostomie complications
- Closed reduction internal fixation
- Incyte
- Pathophysiology of hypothyroidism
- Blood transfusion indications
- Complications of otitis media
- Complications of local anesthesia in dentistry
- 5 cardinal signs
- Complication of gestational diabetes
- Light's criteria
- Minecraft mob vote
- What is hypothyroidism
- Complications of mechanical ventilation
- Massive blood transfusion complications
- Dr neil stone
- Anesthesia complications
- Complication of fracture
- Iv site complications
- Insulin resistance
- Prefibrotic myelofibrosis
- Glutaryldehyde,
- Molecular cell biology of diabetic complications
- Perinephric abscess symptoms
- Dumping syndrome pathophysiology
- Pathophysiology of epistaxis
- Tonsillitis pathophysiology
- Hepatic encephalopathy pathophysiology
- Thyroglossal cyst pathophysiology
- Myxedema coma treatment
- Neonatal sepsis pathophysiology diagram
- Paroxysmal nocturnal dyspnea pathophysiology
- Acholia causes
- Pathogenesis of cholecystitis
- Thyroid storm pathophysiology
- Pathophysiology of sodium and water retention
- Taxis hernia
- Toxic multinodular goiter
- Amiodarone thyroid toxicity
- Pathophysiology of hirschsprung disease
- Dr vike vicente
- Dumping syndrome pathophysiology
- Why “avoid chocolate” after nissen fundoplication
- Neurogenic shock pathophysiology
- Pathophysiology of measles
- Disseminated intravascular coagulation pathophysiology
- Dr marwa a. ahmed
- Cholecystitis pathophysiology
- 3392chest
- What is the pathophysiology of appendicitis?
- How do you confirm appendicitis
- Aplastic anemia lab findings
- Cyphalic
- Azotemia
- Stages of appendicitis
- Case mysteries in pathophysiology (doc or html) file
- Boot shaped heart
- Difference between di and siadh
- Co2 narcosis
- Asthma pathophysiology
- Acute glucoma
- Patent ductus arteriosus pathophysiology
- Joffroys sign
- Vsd closure
- Mitral regurgitation symptoms
- Mitral stenosis severity
- Pathophysiology of diabetes type 1
- Valsalva maneuver
- Pathophysiology of ischemic heart disease
- Hyperkalemia pathophysiology
- Pathophysiology of valvular heart disease
- Pathophysiology of valvular heart disease
- Pathophysiology of valvular heart disease
- Pathophysiology ankylosing spondylitis
- Burn injury pathophysiology of burns
- Malar flush mitral stenosis
- Patofisiologi miopia
- Coronary artery disease pathophysiology
- Examples of pathophysiology
- Pancreatitis nursing interventions
- Hhns
- Lund and browder chart
- Pathophysiology of asthm
- Heparin side effects
- Chickenpox pathophysiology
- Otosclerosis nursing diagnosis
- Who is this
- Diarrhea plan a
- Pathophysiology of ckd in flowchart
- Præprandielt
- Neurogenic shock pathophysiology
- Pathophysiology of pneumonia
- Alpha 1 antitrypsin deficiency
- Renal vein thrombosis pathophysiology
- Hypertensive urgency
- Reactive arthritis pathophysiology
- Pneumonia stages