Question

Victor is a 68-year-old Vietnam War Veteran who is hepatitis C positive. He saw his primary care provider at the VA clinic, complaining that he has been experiencing a persistent cough and feeling more fatigued, nauseous, and irritable. In addition, he is experiencing more frequent memory lapses. His stomach is distended, but on palpation, his liver is small in size and firm. Blood tests done on site indicate a decrease in hemoglobin, albumin, and prothrombin levels with elevated serum bilirubin and ammonia levels Discussion Questions 1. Describe the various stages at the cellular level through which Victor's liver has progressed over the years and the implications of the current stage, 2. Relate Victor's history and signs and symptoms to the onset and course of cirrhosis. Remember that signs are an objective, observable evidence of a problem, and symptoms are what the patient says they are experiencing. Identify which of his manifestations are signs and which are symptoms. 3. Discuss the role of hepatitis infection to the development of cirrhosis. 4. Is it possible to reverse the damage to the liver at this stage? Describe the prognosis of liver disease 5. Identify at least four priority complications that are likely to occur and discuss the predisposing factors and effects on the liver and other body systems. Dihetett etti

Victor is a 68-year-old Vietnam War Veteran who is hepatitis c positive. He saw his primary care provider at the VA clinic, complaining that he has been experiencing a persistent cough and feeling more fatigued, nauseous, and irritable. In addition, he is experiencing more frequent memory lapses. His stomach is distended, but on palpation, his liver is small in size and firm. Blood tests done on site indicate a decrease in hemoglobin, albumin, and prothrombin levels with elevated serum bilirubin and ammonia levels.

Question) Relate Victor's history and signs and symptoms to the onset and course of cirrhosis, including a discussion on the role of hepatitis c infection to the development of cirrhosis.

Answer 1

Answer: The Victor's signs and symptoms related to the cirrhosis as:

• Fatigue
• Nausea
• Palpitations
• Fluid in the abdomen
• Fatigue.
• Low hemoglobin
• Increased serum bilirubin.

In the case of hepatitis C, the infection lead to increase in the inflammation of the liver. It causes necrosis of the cell in liver hence increases the liver damage. This severity causes liver cirrhosis.