Liver Cirrhosis: Causes, Symptoms, Diagnosis, and Complications Quiz

10 Questions

What is the primary cause of liver cirrhosis?

Excessive alcohol consumption

Which of the following is NOT a common symptom of advanced liver cirrhosis?

High fever

Which imaging technique is commonly used to diagnose liver cirrhosis?

Ultrasound

Which of the following is a less common cause of liver cirrhosis?

Malnutrition

Which of the following is a potential complication of advanced liver cirrhosis?

Portal hypertension

What are the common methods used to identify potential liver damage?

Liver function blood tests and imaging techniques like ultrasound

Which complication of cirrhosis involves increased pressure in the portal vein?

Fluid accumulation in the abdomen (ascites)

How can cirrhosis affect brain function?

Causes memory loss

Which complication of cirrhosis can result in bacterial infections?

Weakened immune system leading to sepsis

What can help slow the progression of cirrhosis and potentially prevent some complications?

Regular monitoring and appropriate interventions

Study Notes

Liver Cirrhosis: Causes, Symptoms, Diagnosis, and Complications

Overview of Liver Cirrhosis

Liver cirrhosis is a condition where the liver tissue is replaced by connective tissue due to extensive inflammation, often caused by alcoholism, chronic hepatitis, malnutrition, obesity, or genetic disorders. This chronic degenerative process is irreversible and can lead to impaired liver function, which can result in serious complications.

Causes of Liver Cirrhosis

Cirrhosis is primarily linked to excessive alcohol consumption, chronic hepatitis B and C infections, non-alcoholic steatohepatitis (NASH), and inflammatory reactions like primary biliary cholangitis and primary sclerosing cholangitis. Less commonly, inherited metabolic disorders like Wilson disease and haemochromatosis can contribute to cirrhosis.

Symptoms of Liver Cirrhosis

Symptoms of cirrhosis can vary widely among individuals, ranging from asymptomatic to disabling. Early signs include mild fatigue, weight gain, muscle cramping, and weakness, followed by jaundice (yellow discoloration of skin and eyes), nausea, vomiting, tummy pain, loss of appetite, and drowsiness. Advanced cirrhosis can manifest as confusion, slowed thinking, trembling hands, low white blood cell count, and purpling of the legs.

Diagnosis of Liver Cirrhosis

Diagnosing liver cirrhosis typically involves a combination of physical examination, medical history, blood tests, imaging techniques, and sometimes, liver biopsy. Blood tests for liver function, liver enzyme levels, albumin, total bilirubin, and international normalized ratio (INR) help identify potential liver damage. Imaging techniques, such as ultrasound, CT, MRI, or elastography, can also reveal structural changes within the liver.

Complications of Liver Cirrhosis

Cirrhosis can lead to a range of complications, including:

Portal Hypertension: Increased pressure in the portal vein can cause fluid accumulation in the abdomen (ascites), rupture of esophageal varices, and bleeding from the rectum or vagina.
Encephalopathy: Damaged liver function can disrupt brain function, causing confusion, forgetfulness, and cognitive decline.
Cardiac Problems: Cirrhosis can lead to heart problems like irregular heartbeat and weakened heart muscles.
Infections: Weakened immune systems due to liver problems make patients susceptible to bacterial infections, sepsis, or spontaneous bacterial peritonitis.

To manage cirrhosis and avoid complications, early detection and prompt treatment are crucial. Regular monitoring and appropriate interventions, such as medications to resolve complications, can help slow the progression of cirrhosis and potentially prevent some complications.