Question

Robert is a 68-year-old who has dealt with alcoholism for over 30 years. He has cirrhosis and is anemic. His appetite has declined, and he regularly complains of abdominal pain. Recently, while preparing himself a sandwich, he cut his finger deeply with a knife. The wound bled profusely, and he used a kitchen towel to stop the flow. Refusing to go and seek medical assistance, he put ice on his finger and wrapped the towel around it. He sat down in his recliner with his hand over his head and fell asleep.

1. What tests that the nurse will look into to evaluate the liver functions ?

2. Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematological disorders?

3. What gastrointestinal bleed is associated with a high mortality rate in those with advanced cirrhosis? What is the pathophysiology of this condition?

  

4. Acute pancreatitis is sometimes seen in the alcoholics, particularly after binge drinking. Why are tachycardia and hypotension indications of this condition?

5. Why are women more predisposed to alcoholic liver disease than men?

6. What are other clinical manifestation associated with liver cirrhosis ?

7. What is peritonitis? What factors increase the vulnerability of the peritoneum?

8. Discuss the hepatic encephalopathy associated with liver failure ?

Answer 1