liver cirrhosis

Question 1

what is liver cirrhosis?

Answer 1

condition where the liver becomes irreversibly scarred from chronic inflammation

Question 2

is the liver highly regenerative?

Answer 2

yes

Question 3

what happens when the liver is injured?

Answer 3

1. due to injury the smooth liver tissue becomes bumpy and stiff
2. over time inflammation causes bands of scar tissue to form between the nodules
3. as the scar tissue grows, the compresses the network of blood supply in the liver
4. this leads to increased venous pressure ad portal hypertension

Question 4

what happens during portal hypertension?

Answer 4

portal hypertension occurs when the blood backs up to the portal vein.
with higher portal vein pressure means fluids in the blood vessels are more likely to get pushed into the tissues leading to peripheral edema and ascites

Question 5

what are the significances on a pt with liver cirrhosis?

Answer 5

low albumin - hypoalbuminemia
high bilirubin
high ammonia
abdominal distention
ascites

Question 6

in jaundice ALT, AST AND GGT increased?

Answer 6

yes

Question 7

hepatic encephalopathy diet?

Answer 7

low sodium
low protein
high calorie diet

Question 8

assessment of ascities?

Answer 8

distended abdomen
fluid wave
shifting dullness - tympany to dullness

Question 9

ascities complicatins?

Answer 9

spontaneous bacterial peritonities

Question 10

increase in pressure in portal system complication?

Answer 10

splenomegaly