Final: Liver Disease

Question 1

Liver Disease Dietary Restrictions

Answer 1

Low sodium

Question 2

Types of Malnutrition: Inadequate Dietary Intake

Answer 2

• Anorexia of disease
• Ascites: Impaired expansion capacity of the stomach: Early satiety
• Taste abnormalities : Poor palatability of diets: Loss of appetite
• Dietary restriction (low sodium): Poor palatability of diets: Loss of appetite
• Food calories substitution with alcohol calories: Empty calories
• Esophagitis (odynophagia), Gastritis, Pancreatitis: Eat poorly
• Socioeconomic status
• Poor dentition
• Encephalopathy

Question 3

Types of Malnutrition: Maldigestion

Answer 3

• Decreased bile salt solubilization
• Pancreatic insufficiency
• Portal hypertension → portal venous congestion → congestion of the intestinal mucosa → impaired absorption of essential nutrients
• Alcohol: toxic effect on intestinal brush boarder enzymes
• Bacterial overgrowth

Question 4

Types of Malnutrition: Increased Protein Losses

Answer 4

• Diuretics for treatment of ascites and fluid retention
• Laxatives for management of Hepatic Encephalopathy
• GI bleed