Liver cirrhosis ppt

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LIVER CIRRHOSIS BY DINU GEORGE, 1 ST YR MSC NURSING, ZNC

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Transcript of Liver cirrhosis ppt

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LIVER CIRRHOSIS

BY

DINU GEORGE,

1ST YR MSC NURSING,

ZNC

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GASTROINTESTINAL SYSTEM

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Definition

Liver cirrhosis is a chronic progressive disease of the liver characterised by diffused damage to cell with fibrosis and nodular regeneration.

Medical dictionary.

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Wikipedia:

Cirrhosis is a consequence of chronic liver disease, characterised by replacement of liver tissue by fibrosis, scar tissue and regenerative nodules leading to loss of liver function.

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Mayo clinic staff

Cirrosis is scaring of liver caused by many forms of liver disease and conditions, such as hepatitis and chronic alcohol abuse.

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CLINICAL

FEATURES

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ASCITIS

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BRUSING AND BLEEDING

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ITCHING AND PRURITIS

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JAUNDICE

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SPIDER NAEVI / SPIDER ANGIOMAS

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GALL STONE

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PALMAR ERYTHEMIAS

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GYANAECOMASTIA

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CAPUT MEDUSA

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VARICES

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MENTAL DISTURBENCES

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MANAGEMENT

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GENERAL MANAGEMENT

PROMOTION OF REST IMPROVE NUTRITION; Dietary restructyion of protein,

salt, water.

SKIN CARE REDUCE RISK FOR INJURY MONITERING AND MANAGING POTENTIAL

COMPLICATIONS HEPATIC ENCEPHALOPATHY FLUID VOL EXCESS

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MEDICAL MANAGEMENT

TREATMENT OF UNDERLYING CAUSE PREVENT INFECTION: ANTIBIOTICS . eg;

cephalosporine ASITIS; FRUSAMIDE(40-80 mg/day) HEPATO RENAL SYNDROME; DIEURITICS HEPATIC ENCEPHALOPATHY; NEOMYCINE (1 mg

6th hrly), METRONIDAZOLE(250mg 8th hrly)

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SURGICAL MANAGEMENT

TRANS JUGULAR INTRAHEPATIC PROTOSYSTEMIC SHUNT (TIPS)

DISTAL SPLENORENAL SHUNT (DSR) ENDOSCOPIC SCLEROTHERAPY BANDING OR LIGATION SCLEROTHERAPY AND BANDING BALLOON TAMPONADE LIVER TRANSPLANTATION

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COMPLICATION PORTAL HYPERTENSION ESOPHAGEAL VERISES GASTRIC VARICIES PEREPHERAL EDEMA ASCITIS HEPATIC ENCEPHALOPATHY/ COMA HEPATORENAL SYNDROME PERITONITIS

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THANKYOU