LIVER CIRRHOSIS, liver cirrhosis cause liver cirrhosis symptoms liver cirrhosis treatment stages of liver cirrhosis ~ Medical diseases and trems ,symptoms causes TREATMENT

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LIVER CIRRHOSIS, liver cirrhosis cause liver cirrhosis symptoms liver cirrhosis treatment stages of liver cirrhosis

                           


                                               LIVER CIRRHOSIS

         It is define as permanent distraction of hepatocyte or necrosis of liver tissue with scar formation .

      It is irreversible condition .

TYPES AND CAUSES OF LIVER CIRRHOSIS

        A. ALCOHOL CIRRHOSIS -   

                                                            Due to the excessive use of alcohol , Most common type of cirrhosis .

        B. POST NECROTIC CIRRHOSIS 

                                            Due to hepatitis B,C, AND D infection and excessive use of hepatotoxic drug.

        C. BILIARY CIRRHOSIS 

                                              Due to any obstruction in biliary system.

        D. CARDIAC CIRRHOSIS 

                                             Due to right side heart failure .


   CLINICAL SYMPTOM -

                      *  Anorexia , Nausea , vomiting , Primary symptom of liver cirrhosis.

                      * Jaundice .

                      * Peripheral oedema .

                      * Epistaxis .

                      * Recurrent infection.

                      * Factor hepaticus - Bad breath or bad small from patient mouth.

                      * Liver Asterixis - Abnormal involuntary movement of finger due to ammonia in brain and dysfunction in basal ganglia.


Complication 

                  - Portal hypertension .

                  - hepatic encephalopathy

                  - Hepatorenal syndrome 

DIAGNOSIS

                History .    

                physical examination 

                USG 

                CT Scan

                MRI 

                ERCP

                Blood investigation 

                                              CBC , PANCYTOPENIA , CT BT , PT INR {Priority},LFT.

               Liver biopsy - [ confirmative test ]

TREATMENT 

     Liver cirrhosis is an irreversible condition only symptomatic management  has been made .

    - Nil per mouth 

    - Fowlers position { if respiratory difficulty}.

    - Monitor intake output chart and vital sign.

    - Fluid maintenance DNS AND RL.

    - Manage A N V 

    - Paracentesis    remove of fluid from abdominal cavity.

    - To control the bleeding by coagulant ,FFP , inj. vitamin K, RDP/SDP

                TRANEXA , PROTAMINE SULFAT

    - BT transfusion .

    - administer IV Albumin 

    - administer Lasix 

    If hepatic encephalopathy develop - provide protein free diet , neomycin , lactulose.

 At the time of discharge 

                      Low fat diet 

                      Avoid alcohol , avoid hepatotoxic drug 



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