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Copy of Copy of Cirrhosis of the Liver

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Kong Kingsley

on 12 March 2014

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Transcript of Copy of Copy of Cirrhosis of the Liver

Cirrhosis of the Liver
httpminnesotamethwatch.com/wp-content/uploads/2011/03/5-liver-cirrhosis.jpg
http://minnesotamethwatch.com/wp-content/uploads/2011/03/5-liver-cirrhosis.jpg
http://www.healthcentral.com/common/images/1/10261_13644_5.jpg
Functions of the Liver
detoxification of harmful substances in the body such as alcohol
purifies blood
manufactues vital nutrients
produces clotting proteins
produces bile
What is Cirrhosis?
chronic damage to the liver results in scar tissue
scar tissue replaces healthy tissue in the liver
slow deterioration over time-interferes with blood flow
http://www.healthcentral.com/common/images/8/8849_7124_5.jpg
http://upload.wikimedia.org/wikipedia/commons/9/94/Cirrhosis_high_mag.jpg
Symptoms
weakness
fatigue
loss of appetite
nausea
vomiting
weight loss
spider-like veins
jaundice
blood in stool
easy bruising
Jaundice
accumulation of bilirubin in the liver
yellowing of the skin and eyes
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Diagnosis & Tests
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CT scan
ultrasound
MRI
biopsy (best)
what to look for:
enlargement of the liver
irregular contours
Biopsy Revealing Cirrhosis
http://medicineworld.org/images/blogs/9-2006/liver-biopsy-6210.jpg
http://missinglink.ucsf.edu/lm/IDS_106_GI_medicine/Case2/
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http://www.documentingreality.com/forum/attachments/f149/285115d1309262167-abdomen-ascites-abdomen_ascites.jpg
Treatment
There is
HOWEVER...
NOT
a set treatment for cirrhosis of the liver
there are treatments available for complications associated with cirrhosis
Complication: Ascites
fluid collects in the abdomen
could lead to bacterial peritonitis infection

treatment: diuretics (fluid- removing medications) and IV antibiotics
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Complication: Portal Hypertension
increased amount of pressure in the portal vein

treatment: beta-blocker prescription
Complication: Esophageal Varices and Gastropathy
enlarged blood vessels
progression of portal hypertension
treatment: compression with a band ligation
gastropathy
esophageal varices
Causes
Cirrhosis has
many
different causes,
and affects a
wide range
of people.
Major Cause: Hepatitis B and D
cause infections that attack the liver
leads to inflammation of liver
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Major Cause: Long-Term Alcohol Abuse
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excessive consumption of alcohol
leads to swelling and inflammation of liver
Major Cause: Nonalcoholic Fatty Liver Disease
accumulation of fat in the liver
result of poor diet
http://www.mayoclinic.com/images/image_popup/d7_fatty_liver_disease.jpg
Other Causes
Autoimmune Inflammation: immune reponse cells attack liver cells
Primary Biliary Cirrhosis and Primary Sclerosing Cholangitis: swelling of the bile ducts-blocks flow of bile, destroys ducts
acummulation of copper or iron-inflammation
http://pubs.niaaa.nih.gov/publications/arh27-3/images/butterworth2.gif
Complication: Hepatic Encephalopathy
accumulation of toxins in the brain

treatment: cleansing bowel with lactulose (oral laxative)
Complication: Hepatocellular Carcinoma
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http://www.sciencephoto.com/image/254516/530wm/M1321024-Secondary_liver_cancer,_light_micrograph-SPL.jpg
liver cancer

possible treatment: surgery OR injection of anti-cancer drugs into liver
Complication: Hepatorenal Failure
kidney failure

treatment: hemodialysis to cleanse blood
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End Stage Cirrhosis: Liver Transplant
Prevention
Cirrhosis is
preventable
with the exception of inherited diseases.
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Preventing Alcohol Abuse
limit alcohol intake
bad...
better...
BEST!
Preventing Nonalcoholic Fatty Liver Disease
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have a healthy, well-balanced diet
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Preventing Hepatitis B and D
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get the Hepatitis B vaccine
Now it's your turn to show what you know!
1. Moderate consumption of
alcohol cannot cause Cirrhosis.
2. There is no "cure" for Cirrhosis.
3. Only men can get Cirrhosis.
True...
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/uploads/2011/03/03.02.11-5-Hiring-Process-Myths-You-Need-to-Know.jpg
OR
False?
Answers
1. False
2. True
3. False
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Cirrhosis. (2011, January 22). Retrieved from http://www.mayoclinic.com/health/cirrhosis/DS00373
Liver Cancer. (2011, July 2). Retrieved from
http://www.mayoclinic.com/health/liver-cancer/DS00399
Longstreth, G. F. (2011, October 13). Cirrhosis. Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/000255.htm
Mohan, V. (2010, March 1). Cirrhosis of the Liver. Retrieved from
http://www.webmd.com/digestive-disorders/cirrhosis-liver?page=3
National Digestive Diseases Information Clearinghouse: Cirrhosis. (2008, December).
Retrieved from http://digestive.niddk.nih.gov/ddiseases/pubs/cirrhosis/
Reported Cirrhosis Mortality—United States, 1970-1980. (1984, November 23).
Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/00000440.htm
Works Cited
Group 10
Case 3
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Healthy Livers vs. Cirrhosis Livers
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 
Limitation of Ultrasound

Limitations
Full transcript