Patho Case Study 1

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Berlin Herrera Unit 1 Case Study F.C. is a 54-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. He continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. He was recently hit by a car and was hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 0.18. F.C.’s family reports that his mental functioning has deteriorated significantly over the past few months. Discussion Questions 1. What are the common manifestations of alcoholic cirrhosis? Which of these are secondary to…show more content…
* Hepatorenal Syndrome: defined as a rapid deterioration in kidney function that manifests from an acute insult to the liver. Changes in blood flow due to decreased kidney function causes toxins to begin impairment of the kidneys since the liver cannot kill off the toxins before-hand. This condition is considered secondary to portal hypertension for this reason. * Edema: abnormal accumulation of fluid (aka swelling). This is important for cirrhosis because when the tissue starts turning into scar tissue, the kidneys retain more salt. This increase in salt and water causes the visualized swelling. As time progresses, this swelling can affect abdomen area of the body, making edema secondary to hepatocellular failure since it is the tissue cell morphing that causes edema to manifest. * Esophageal Varices Bleeding: scarring of liver causes blood flow through the liver to decrease. With the decrease in liver blood flow, more blood pumps through veins causing them to balloon outward. The increased amount of blood in the veins results in a vein bursting and leads to bleeding. This condition is secondary to portal hypertension because of the alternate routes the blood takes due to the scarred liver, causing the veins to work harder and accumulate more blood within a certain span of time, not being able to drain in a timely matter. 2. Why is
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