Jean is 45 years old male that is a chronic alcoholic. Some symptoms that he experiences...
Jean is 45 years old male that is a chronic alcoholic.
Some symptoms that he experiences are the appearance of small
dilated blood vessels on his face and chest, fluid in
the abdominal cavity, yellowing of the eyes and skin
and edema around the feet and ankles.
1. What is the condition?
2. Name three possible findings of the physician upon physical
examination or laboratory work?
3. What is the prognosis?
4. Is it preventable?
Homework Answers
- Liver cirrhosis (alcoholic)
- Physical examination :
- Icteric sclera, jaundice
- Spider angioma
- Gynecomastia
- Hepatosplenomegaly
- Small nodular liver
- Ascites
- Muscle wasting
Lab investigation
- Liver function test (increased alkaline phosphate, ALT, ASTV)
- Blood test (decreased total protein, decreased albumin, increased serum bilirubin)
- Prolonged PT time
- Ascitis fluid test
- Liver USG
- CT scan
Prognosis
Based on prognosis it is compensated and decompensated.
Compensated - stage1(no ascitis and varices )prognosis 1%
stage 2 ( varices, no ascitis )prognosis 3%
Decompensated - stage 1 (ascitis, varices )prognosis 20%
Stage 2(bleeding ascitis )prognosis 57%
It can prevented by avoidance of alcohol.
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