Liver Cirrhosis

a.     Liver Cirrhosis          
             

It is the term applied to chronic disease of the liver characterized by diffuse inflammation and fibrosis with extensive degeneration and destruction of parenchymal cells

Aetiology

1.      Alcoholism, hepatitis, Wilson’s disease, Cholangitis

2.      Cardiac cirrhosis, Ca changes, use of high antibiotics, chemical poisoning

Clinical Manifestation 

1.      Anorexia, dyspepsia, flatulence, nausea and vomiting, fever,

2.      Weight loss, splenomegally, Ascitis, jaundice, portal hypertension

Diagnostic Studies

1.      Liver biopsy, angiography, liver scan, CBC, LFT,

2.      Abdominal Ultrasound, serum electrolyte,

Management

1.      Complete bed rest and avoid alcohol and aspirin

2.      Administration of vitamin b-complex

3.      Sodium restriction, diuretics and fluid removal are indicated

4.      High carbohydrate and protein, low fat diet are advised

5.      Supporting respiration(using Fowler’s position)

6.      Prevent infection, bleeding and falls

7.      Controlling pruritis, and promote self esteem