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Liver cirrhosis ppt

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Liver cirrhosis ppt

  1. 1. LIVER CIRRHOSIS BY DINU GEORGE, 1ST YR MSC NURSING, ZNC
  2. 2. GASTROINTESTINAL SYSTEM
  3. 3. Definition Liver cirrhosis is a chronic progressive disease of the liver characterised by diffused damage to cell with fibrosis and nodular regeneration. Medical dictionary.
  4. 4. Wikipedia: Cirrhosis is a consequence of chronic liver disease, characterised by replacement of liver tissue by fibrosis, scar tissue and regenerative nodules leading to loss of liver function.
  5. 5. Mayo clinic staff Cirrosis is scaring of liver caused by many forms of liver disease and conditions, such as hepatitis and chronic alcohol abuse.
  6. 6. ASCITIS
  7. 7. BRUSING AND BLEEDING
  8. 8. ITCHING AND PRURITIS
  9. 9. JAUNDICE
  10. 10. SPIDER NAEVI / SPIDER ANGIOMAS
  11. 11. GALL STONE
  12. 12. PALMAR ERYTHEMIAS
  13. 13. GYANAECOMASTIA
  14. 14. CAPUT MEDUSA
  15. 15. VARICES
  16. 16. MENTAL DISTURBENCES
  17. 17. MANAGEMENT
  18. 18. GENERAL MANAGEMENT  PROMOTION OF REST  IMPROVE NUTRITION; Dietary restructyion of protein, salt, water.  SKIN CARE  REDUCE RISK FOR INJURY  MONITERING AND MANAGING POTENTIAL COMPLICATIONS  HEPATIC ENCEPHALOPATHY  FLUID VOL EXCESS
  19. 19. MEDICAL MANAGEMENT  TREATMENT OF UNDERLYING CAUSE  PREVENT INFECTION: ANTIBIOTICS . eg; cephalosporine  ASITIS; FRUSAMIDE(40-80 mg/day)  HEPATO RENAL SYNDROME; DIEURITICS  HEPATIC ENCEPHALOPATHY; NEOMYCINE (1 mg 6th hrly), METRONIDAZOLE(250mg 8th hrly)
  20. 20. SURGICAL MANAGEMENT  TRANS JUGULAR INTRAHEPATIC PROTOSYSTEMIC SHUNT (TIPS)  DISTAL SPLENORENAL SHUNT (DSR)  ENDOSCOPIC SCLEROTHERAPY  BANDING OR LIGATION  SCLEROTHERAPY AND BANDING  BALLOON TAMPONADE  LIVER TRANSPLANTATION
  21. 21. COMPLICATION  PORTAL HYPERTENSION  ESOPHAGEAL VERISES  GASTRIC VARICIES  PEREPHERAL EDEMA  ASCITIS  HEPATIC ENCEPHALOPATHY/ COMA  HEPATORENAL SYNDROME  PERITONITIS
  22. 22. THANKYOU

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