LIVER CIRRHOSIS
BY
DINU GEORGE,
1ST YR MSC NURSING,
ZNC
GASTROINTESTINAL SYSTEM
Definition
Liver cirrhosis is a chronic progressive disease of the liver characterised by diffused damage to cell with fibrosis and nodular regeneration.
Medical dictionary.
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.
Mayo clinic staff
Cirrosis is scaring of liver caused by many forms of liver disease and conditions, such as hepatitis and chronic alcohol abuse.
CLINICAL
FEATURES
ASCITIS
BRUSING AND BLEEDING
ITCHING AND PRURITIS
JAUNDICE
SPIDER NAEVI / SPIDER ANGIOMAS
GALL STONE
PALMAR ERYTHEMIAS
GYANAECOMASTIA
CAPUT MEDUSA
VARICES
MENTAL DISTURBENCES
MANAGEMENT
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
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)
SURGICAL MANAGEMENT
TRANS JUGULAR INTRAHEPATIC PROTOSYSTEMIC SHUNT (TIPS)
DISTAL SPLENORENAL SHUNT (DSR) ENDOSCOPIC SCLEROTHERAPY BANDING OR LIGATION SCLEROTHERAPY AND BANDING BALLOON TAMPONADE LIVER TRANSPLANTATION
COMPLICATION PORTAL HYPERTENSION ESOPHAGEAL VERISES GASTRIC VARICIES PEREPHERAL EDEMA ASCITIS HEPATIC ENCEPHALOPATHY/ COMA HEPATORENAL SYNDROME PERITONITIS
THANKYOU
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