Hepatic Cirrhosis Overview
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Questions and Answers

What is one possible symptom associated with ankle edema?

  • Numbness in the fingers
  • Severe chest pain
  • Vague morning indigestion (correct)
  • Increased thirst

Which condition does not relate to ankle edema?

  • Injury to the ankle
  • Rapid weight loss (correct)
  • Heart failure
  • Vascular obstruction

What is a common cause of ankle edema?

  • Diabetes
  • Hyperthyroidism
  • Inflammation (correct)
  • Chronic headache

When experiencing ankle edema, which related symptom might be present?

<p>Vague morning indigestion (D)</p> Signup and view all the answers

What lifestyle factor can contribute to the worsening of ankle edema?

<p>High sodium intake (B)</p> Signup and view all the answers

What is one type of cirrhosis commonly known?

<p>Alcoholic cirrhosis (D)</p> Signup and view all the answers

Which of the following is NOT typically classified as a type of cirrhosis?

<p>Diabetic cirrhosis (C)</p> Signup and view all the answers

What type of cirrhosis can result from chronic viral infections?

<p>Viral cirrhosis (D)</p> Signup and view all the answers

Which type of cirrhosis is associated with liver damage due to autoimmune disorders?

<p>Autoimmune cirrhosis (C)</p> Signup and view all the answers

What type of cirrhosis is primarily caused by prolonged obstruction of bile flow?

<p>Biliary cirrhosis (B)</p> Signup and view all the answers

What symptom is associated with Ali Turki as described?

<p>Abdominal pain (B)</p> Signup and view all the answers

What condition is indicated by a firm, enlarged liver?

<p>Liver cirrhosis (D)</p> Signup and view all the answers

Which of the following best describes the liver condition mentioned?

<p>Enlarged liver (B)</p> Signup and view all the answers

What might be a cause of abdominal pain in context with liver enlargement?

<p>Inflammation or infection (A)</p> Signup and view all the answers

Which of the following is least likely to be a symptom related to liver problems?

<p>Frequent headaches (C)</p> Signup and view all the answers

What primarily causes biliary cirrhosis?

<p>Chronic biliary obstruction and cholangitis (D)</p> Signup and view all the answers

How does biliary cirrhosis compare in commonality to other types of cirrhosis?

<p>It is less common than other types (A)</p> Signup and view all the answers

What occurs during biliary cirrhosis?

<p>Scarring around the bile ducts (A)</p> Signup and view all the answers

Which of the following best describes cholangitis in the context of biliary cirrhosis?

<p>An infection of the bile ducts that can lead to biliary cirrhosis (A)</p> Signup and view all the answers

Which statement is true regarding the incidence of biliary cirrhosis?

<p>It is much less common compared to other forms of cirrhosis (D)</p> Signup and view all the answers

What does the term 'Nursing care' refer to in the context provided?

<p>Support and services provided to patients (B)</p> Signup and view all the answers

Which condition is referred to as 'نفس التهاب البنكرياس'?

<p>Pancreatitis (C)</p> Signup and view all the answers

In medical terminology, how would you classify a condition like pancreatitis?

<p>Inflammatory condition (B)</p> Signup and view all the answers

Which of the following is typically NOT part of nursing care for pancreatitis?

<p>Prescribing medications (D)</p> Signup and view all the answers

What is a common goal of nursing care for a patient suffering from pancreatitis?

<p>Manage pain and discomfort (A)</p> Signup and view all the answers

What is the primary cause of alcoholic cirrhosis?

<p>Alcohol abuse (B)</p> Signup and view all the answers

In alcoholic cirrhosis, where is the scar tissue mainly located?

<p>Surrounding the portal areas (B)</p> Signup and view all the answers

What type of tissue characterizes alcoholic cirrhosis?

<p>Fibrous scar tissue (D)</p> Signup and view all the answers

What is a common gateway to develop alcoholic cirrhosis?

<p>Long-term alcohol addiction (D)</p> Signup and view all the answers

Which of the following descriptions is true regarding the nature of alcoholic cirrhosis?

<p>It usually leads to serious complications. (D)</p> Signup and view all the answers

Flashcards

Cirrhosis

A serious liver disease characterized by scarring and poor liver function.

Types of Cirrhosis

Different types of cirrhosis are classified based on the cause of liver damage.

Alcoholic Cirrhosis

Cirrhosis caused by excessive alcohol consumption over time.

Viral Cirrhosis

Cirrhosis caused by chronic infection with certain viruses, such as hepatitis B or C.

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Non-Alcoholic Fatty Liver Disease (NAFLD) Cirrhosis

Cirrhosis caused by the buildup of fat in the liver, independent of alcohol consumption.

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Biliary Cirrhosis

A type of liver disease where scarring occurs around the bile ducts. It is usually caused by long-term bile duct blockage or infection.

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Cause of Biliary Cirrhosis

Chronic bile duct obstruction (blockage) and infections (cholangitis) are the most common causes of biliary cirrhosis.

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Frequency of Biliary Cirrhosis

Biliary cirrhosis is less common than other types of cirrhosis, such as alcoholic or viral cirrhosis.

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Biliary Cirrhosis vs Other Types

Biliary cirrhosis affects the bile ducts, while other types of cirrhosis primarily impact liver cells.

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Key Features of Biliary Cirrhosis

Scarring around bile ducts, chronic obstruction, and infection (cholangitis) are key features of biliary cirrhosis.

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Ankle edema

Swelling in the ankles, often caused by fluid buildup, which can be a symptom of various conditions.

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Vague morning indigestion

A general feeling of discomfort or upset stomach in the morning, often without a clear cause.

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Abdominal Pain

Pain in the abdomen, often a symptom of various medical conditions.

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Firm, Enlarged Liver

A liver that feels hard and larger than normal upon examination.

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Liver Enlargement

An increase in the size of the liver, often indicating a medical problem.

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Hepatitis

Inflammation of the liver, often caused by viral infections.

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Pancreatitis

Inflammation of the pancreas, an organ that produces digestive enzymes and hormones.

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Nursing Care

The provision of specialized care by nurses to patients, encompassing assessment, planning, implementation, and evaluation of care.

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Same of Pancreatitis

This phrase means 'the same as pancreatitis' and refers to other conditions that share similar symptoms or characteristics.

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Scar Tissue in Alcoholic Cirrhosis

In alcoholic cirrhosis, scar tissue specifically surrounds the portal areas of the liver, affecting blood flow and liver function.

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Portal Areas

The portal areas of the liver are regions where blood vessels, bile ducts, and lymphatic vessels enter the liver.

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Alcoholic Cirrhosis - Scar Tissue

Scar tissue in alcoholic cirrhosis primarily localizes to the portal areas, disrupting the liver's ability to filter blood and produce bile.

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Alcoholic Cirrhosis - Cause

Alcoholic cirrhosis is primarily caused by excessive alcohol consumption over a prolonged period.

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Study Notes

Hepatic Cirrhosis

  • Chronic disease replacing normal liver tissue with fibrous scar tissue
  • Disrupts liver structure and function
  • Three main types:
    • Alcoholic cirrhosis: Scar tissue surrounds portal areas, usually from chronic alcoholism
    • Post-necrotic cirrhosis: Wide bands of scar tissue resulting from previous acute viral hepatitis
    • Biliary cirrhosis: Scarring around bile ducts, often due to chronic biliary obstruction or cholangitis; less common

Pathophysiology of Cirrhosis

  • Several factors involved, but alcohol consumption is the major causative factor

Clinical Manifestations of Cirrhosis

  • Intermittent mild fever
  • Unexplained nosebleeds (epistaxis)
  • Ankle swelling (edema)
  • Indigestion, especially in the morning
  • Gas and bloating (flatulent dyspepsia)
  • Other possible manifestations include:
    • Abdominal pain
    • Enlarged, firm liver
    • Enlarged spleen
    • Ascites (fluid buildup in the abdomen)
    • Jaundice (yellowing of skin and eyes)
    • Weakness
    • Weight loss
    • Persistent mild fever
    • Low blood pressure (hypotension)

Diagnostic Tests for Cirrhosis

  • Serum albumin levels decrease, while globulin levels increase
  • Liver enzyme tests indicate liver cell damage (e.g., serum alkaline phosphatase)
  • Bilirubin tests assess bile excretion or retention
  • Prothrombin time is prolonged
  • Ultrasound scans assess differences in density between healthy and scarred tissue
  • Other diagnostic tests may include CT scan or MRI

Nursing Care (Similar to pancreatitis care)

  • No specific nursing care details are provided, only stating that the care is similar to pancreatitis care.

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Description

This quiz covers the essential aspects of hepatic cirrhosis, including its types, pathophysiology, and clinical manifestations. Understand the chronic disease that replaces normal liver tissue with scar tissue and how it disrupts liver function. Test your knowledge on alcoholic, post-necrotic, and biliary cirrhosis.

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