Cirrhotic Essay

Protein pump inhibitors are a group of treatments that work by reducing the amount of stomach acid made by parietal glands in the lining of the stomach. PPIs are used to relieve symptoms of acid reflux, peptic ulcers, and treat damage to the lower esophagus caused by acid reflux, caused by certain diseases like GERD and ZES. PPIs function by completely blocking the production of stomach acid for a certain amount of time. Currently used PPIs in clinical practice are omeprazole, lansoprazole, pantoprazole, rabeprazole, esomeprazole, and dexlansoprazole. These medication are taken by mouth in various tablets, thirty minutes before the first meal of the day. Some brands of PPIs can be obtained over the counter while others with a physician’s

Evaluate the extent to which electronic communication enhances or detracts from the quality of interpersonal communication compared to face-to-face communication. Your analysis must engage with three elements of interpersonal communication (for example, eye contact or gestures) and discuss how each is affected by one particular electronic channel of communication. Your essay should be grounded in communication theory from appropriate academic sources.

One of these symptoms is jaundice, which is characterized by yellowish skin and eyes because of an inability of the liver to remove bilirubin from the blood. Patient with cirrhosis also suffering from itching, due to deposited bile's products in the skin. This patient also suffers from accumulation of fluid in legs that is called edema. As a result of the blockage of blood flow via the liver, fluid accumulation in abdomen which is worsen by the decrease in protein production. Other symptoms include fatigue, weakness, loss of appetite, weight loss and nausea. As the disease progress, complications may develop ,such as varices that happens with cirrhosis patient when the blood flow through the liver slows, so the blood from intestine go back to the vessels of the stomach and esophagus, these vessels are not meant to carry this much of blood so they dilate (varices), with increasing

You and I live in a world were modernism is reaching new heights every day. One day that touchscreen phone is considered new, and then next week it’s old news. These two stories that I am going to compare are about the role of technology, science and how it affects me and you. Based on how it uses new technology and modern science A Sound of Thunder is a better sci-fiction story.

Decompensated cirrhosis is characterized by the development of a cirrhosis-related complication, including variceal hemorrhage, ascites, spontaneous bacterial peritonitis, hepatorenal syndrome, and/or coagulopathies. For patients with compensated and decompensated cirrhosis, the risk of death is 4.7 and 9.7 times higher than the general population, respectively.4 Survival in patients with decompensated cirrhosis is considerably lower than that of patients with compensated cirrhosis. The median survival times are as low as 2 years in decompensated patients and greater than 12 years in compensated

It has been rumored that are extraordinary beings on another familiar planet close by our home of Nacirema, and it is our goal as the Interplanetary Nacirema Research Center team to investigate the situation. We plan to focus our trip on the specific coordinates that the University of Connecticut campus lies on, and being the curious creatures we are, we plan to delve into specific areas within this concentrated area. We will be studying the way both males and females conduct their everyday lives in terms of living, learning and communicating. Through our research, we plan to lighten up the mysteries about this foreign species and enable ourselves to communicate

Protonix (pantoprazole) is used to treat such conditions where there is too much acid in the stomach. It is also use to treat heartburn caused by gastroesophageal reflux disease (GERD), a condition where the acid in the stomach comes back up into the esophagus. Side effects protonix may include such symptoms of low magnesium such as fast or uneven heart rate; jerking muscle movements; feeling jittery; diarrhea that is watery or bloody; muscle cramps, muscle weakness or limp feeling; cough or choking feeling; or headache, trouble concentrating, memory problems, weakness, loss of appetite. Before taking protonix (pantoprazole) inform the doctor of any allergies or any other drugs similar to do it. This drug is to be swallowed it is a delayed-released tablet. Do not split, crush, or chew it. You can take the tablet with or without

The Association of Intercollegiate Investment Clubs (ACIIC) provides three key benefits; developing and enhancing students through mentorship, encouraging the development of interpersonal skills through collaboration and bridging the gap between the capital markets and university students. These benefits are precisely the reason why I am pursuing the ACIIC so ardently. With recruiting cycle underway, I am interested in exploring the skill development and recruiting preparation analyst tracks to help better understand how to do well in this cycle. Furthermore, I think there is a lot of value in the alumni network of the ACIIC, given the high caliber of students that have gone through the program.

2 Patients must demonstrate no response to acid suppression (high-dose PPI for 6-8 weeks), while symptoms should improve with dietary eliminations and/or corticosteroids. Esophageal biopsy must demonstrate at least 15 eosinophils/high-power field and normal mucosa in the stomach and duodenum, and other causes of esophageal eosinophilia must be excluded. 2 Of note, there is a subgroup of patients with PPI-responsive eosinophilia. In this group, GERD is excluded but histopathology demonstrates eosinophil-predominant inflammation. Less is known regarding this condition and treatments for this subgroup.

In the presented case scenario, we have Mr. Gil Martin who is a 55-year-old Hispanic male. He comes in to the clinic today with complaints of weakness, fatigue, and loss of appetite. A student nurse will be precepting your assessment of Mr. Martin and when collecting subjective and objective data it is important to pay close detail to all findings. Ultimately this patient was diagnosis with cirrhosis, which is an abnormal liver condition that leads to irreversible scarring of the liver (National Institute of Health [NIH], 2017), so during assessment we should pay attention to details leading to this diagnosis.

H. pylori thrives in the acidic environment of the stomach and the finding that this bacteria contributed to the condition was remarkable news and led to the standard practice of treating peptic ulcers with antibiotics. As a result, the rate of H. pylori-induced ulcers has dropped by more than 50 percent. (Ackerman, 2012)

Based on 2014 hepatic encephalopathy guideline, NA’s hepatic encephalopathy is classified as type C and recurrent due to the cirrhosis and 2 episodes of HE occur with a time interval of 6 months or less. Typical signs and symptoms consistent with his HE includes confusion, forgetfulness, and anxiety. According to the guideline, the goals for the treatment are maintaining two to three bowel movements per day, decreasing elevated ammonia level, prevention of recurrent episodes of HE, and improvement of daily functioning. Lactulose is the first choice for treatment of overt HE. Currently, patient is on lactulose only once a day because of his noncompliance. The dose frequency is incorrect since he does not have at two to three bowel movements per day. Increasing frequency back to three times a day is recommended for the patient. Moreover, rifaximin is an effective add-on therapy to lactulose for prevention of OHE recurrence. Also, counseling the effects of lactulose and rifaximin, importance of adherence, early signs of recurring HE, and actions to be taken if recurrence are also beneficial for the patient.

This case study is about Abdul Chidiac, a 51 year old male, married with 4 children. He had a medical history of hypertension, hypercholesterolaemia and cirrhosis with two admissions in the last six months. He is a smoker and drinks beer, 5-6 bottles per day. As Carithers & McClain (2010) explained the patient’s medical history is another indicator of the risk for cirrhosis; the progression to cirrhosis is adaptable and may take time over weeks or many years. Cirrhosis is a liver disease characterized by permanent scarring of the

In the year 2050 the earth was becoming uninhabitable. Gradually, issues of the past that remained unresolved thrived until the world was plagued with pollution and climate change. Fortunately, scientists uncovered a way to alter materials and later people’s genetic makeup. Thus they were lighter and more resistant to heat. Consequently, they could reside in the clouds, which served as a barrier from the decaying world below. Regardless of their class, individuals underwent this transformation for a chance at a prosperous life. However, that was 100 years ago and, although, the higher altitude offered protection, it provided excess water vapor that was accumulating in people’s lungs and, drowning them.

Abdominal radiographs were performed second daily as per unit protocol. On day 4 patients with bowel actions ≤ 4 with no blood were considered complete intravenous steroid responders and transitioned to a tapering course of oral prednisolone after completing 5 days of intravenous therapy. Patients with ≥ 4 bowel actions with or without blood on day 4 were considered incomplete intravenous steroid responders and given either rescue therapy or colectomy depending on patients informed decision post consultant colorectal surgical review. Reduction or normalization of C-reactive protein (CRP) was considered supportive but not diagnostic of a complete intravenous steroid