Cirrhosis is scarring of the liver caused by long-term liver damage and disease. It can be asymptomatic in early stages but progresses to cause fatigue, loss of appetite, nausea, weight loss, easy bruising, fluid buildup, and jaundice. Cirrhosis is most often caused by alcohol abuse, hepatitis B/C, fatty liver disease, and genetic disorders. It is diagnosed through blood tests, imaging, and liver biopsy showing scar tissue buildup. While cirrhosis cannot be reversed, treatment focuses on managing the underlying cause to prevent further damage, and may include medications, lifestyle changes, and liver transplant for severe cases.
Polycystic kidney disease (PKD) is a hereditary disorder in which the numerous cysts grow in the kidneys. The kidneys are two organs, each about the size of a fist, located in the upper part of a person’s abdomen towards the back. The kidneys filter and remove toxic materials and extra fluid from the blood to form urine.
Discus the scenario of my case base selective patient
Explain the patient’s present and previous health history
Discus the chronic liver disease
Explain the causes of chronic liver disease
Review the psychopathology of chronic liver disease
Prepare the nursing management
Polycystic kidney disease (PKD) is a hereditary disorder in which the numerous cysts grow in the kidneys. The kidneys are two organs, each about the size of a fist, located in the upper part of a person’s abdomen towards the back. The kidneys filter and remove toxic materials and extra fluid from the blood to form urine.
Discus the scenario of my case base selective patient
Explain the patient’s present and previous health history
Discus the chronic liver disease
Explain the causes of chronic liver disease
Review the psychopathology of chronic liver disease
Prepare the nursing management
CASE PRESENTATION ONCIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC EN...Akhil Joseph
A DETAIL CASE PRESENTATION ON CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC ENCEPHALOPATHY AND GRADE II OESOPHAGEAL VARICES WITH CONGESTIVE GASTROPATHY. LIVER CIRRHOSIS AND ALL ITS COMPLICATION IN A PATIENT.
It include the definition , signs and symptoms, types, diagnosis, medical management, Nursing management, preventive measures, complication, Post exposure prophylaxis of Hepatitis.
Cirrhosis is a condition in which the liver slowly deteriorates and malfunctions due to chronic injury. Scar tissue replaces healthy liver tissue, partially blocking the flow of blood through the liver. Scarring also impairs the liver's ability to:
-- control infections
-- remove bacteria and toxins from the blood
-- process nutrients, hormones, and drugs
-- make proteins that regulate blood clotting
-- produce bile to help absorb fats—including
cholesterol—and fat-soluble vitamins
A healthy liver is able to regenerate most of its own cells when they become damaged. With end-stage cirrhosis, the liver can no longer effectively replace damaged cells. A healthy liver is necessary for survival.
The liver and digestive system.
Cirrhosis is the twelfth leading cause of death by disease, accounting for 27,000 deaths each year.1 The condition affects men slightly more often than women.
1 Miniño AM, Heron MP, Murphy SL, Kochanek KD. Deaths: Final data for 2004. Centers for Disease Control and Prevention Web site. http://www.cdc.gov/nchs/data/nvsr/nvsr55/nvsr55_19.pdf (PDF, 3450 KB). Updated October 10, 2007. Accessed January 20, 2008.
best ayurvedic gall bladder treatment in pune ,we offer excellent results in gb stone cases kindly contact details .....
dr.phalles ayusanjivani speciality clinic and panchakarma centre
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Global Medical Cures™ | Humira- Pediatric PostMarketing Adverse Event ReviewGlobal Medical Cures™
Global Medical Cures™ | Humira- Pediatric PostMarketing Adverse Event Review
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Global Medical Cures™ | Indigestion
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Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
CASE PRESENTATION ONCIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC EN...Akhil Joseph
A DETAIL CASE PRESENTATION ON CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION, HEPATIC ENCEPHALOPATHY AND GRADE II OESOPHAGEAL VARICES WITH CONGESTIVE GASTROPATHY. LIVER CIRRHOSIS AND ALL ITS COMPLICATION IN A PATIENT.
It include the definition , signs and symptoms, types, diagnosis, medical management, Nursing management, preventive measures, complication, Post exposure prophylaxis of Hepatitis.
Cirrhosis is a condition in which the liver slowly deteriorates and malfunctions due to chronic injury. Scar tissue replaces healthy liver tissue, partially blocking the flow of blood through the liver. Scarring also impairs the liver's ability to:
-- control infections
-- remove bacteria and toxins from the blood
-- process nutrients, hormones, and drugs
-- make proteins that regulate blood clotting
-- produce bile to help absorb fats—including
cholesterol—and fat-soluble vitamins
A healthy liver is able to regenerate most of its own cells when they become damaged. With end-stage cirrhosis, the liver can no longer effectively replace damaged cells. A healthy liver is necessary for survival.
The liver and digestive system.
Cirrhosis is the twelfth leading cause of death by disease, accounting for 27,000 deaths each year.1 The condition affects men slightly more often than women.
1 Miniño AM, Heron MP, Murphy SL, Kochanek KD. Deaths: Final data for 2004. Centers for Disease Control and Prevention Web site. http://www.cdc.gov/nchs/data/nvsr/nvsr55/nvsr55_19.pdf (PDF, 3450 KB). Updated October 10, 2007. Accessed January 20, 2008.
best ayurvedic gall bladder treatment in pune ,we offer excellent results in gb stone cases kindly contact details .....
dr.phalles ayusanjivani speciality clinic and panchakarma centre
1st floor opposite radisson blu hotel,bypass road kharadi pune
contact :9011609371 (whats up )
www.ayusanjivani.com
Global Medical Cures™ | Humira- Pediatric PostMarketing Adverse Event ReviewGlobal Medical Cures™
Global Medical Cures™ | Humira- Pediatric PostMarketing Adverse Event Review
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Global Medical Cures™ | Indigestion
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Global Medical Cures™ | Help your Child gain control over Asthma
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Global Medical Cures™ | Heart Disease Medicines
ACE Inhibitors & ARBs: Patients Guide for those suffering from Stable Coronary Heart Disease
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Global Medical Cures™ | Kidney Disease Statistics for USA
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Global Medical Cures™ | INTUNIV- Pediatric PostMarket Adverse Event ReviewGlobal Medical Cures™
Global Medical Cures™ | INTUNIV- Pediatric PostMarket Adverse Event Review
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Global Medical Cures™ | High Blood Pressure and Kidney Disease
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Global Medical Cures™ | Medicines for Rheumatoid Arthritis
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Global Medical Cures™ | What I Need to Know about CONSTIPATION
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Global Medical Cures™ | AGING- SAMPLE WORKOUTS
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Global Medical Cures™ | Sprains and Strains
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Global Medical Cures™ | Handbook- Genetic Mutations & How it Impacts HealthGlobal Medical Cures™
Global Medical Cures™ | Handbook- Genetic Mutations & How it Impacts Health
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Global Medical Cures™ | Depression Medicines
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Global Medical Cures™ | Drugs approved for Non Hodgkin Lymphoma
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Global Medical Cures™ | Tasty Recipes for People with Diabetes & their Families Global Medical Cures™
Global Medical Cures™ | Tasty Recipes for People with Diabetes & their Families
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Global Medical Cures™ | Explosions & Blast Injuries
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Global Medical Cures™ | Sun Safety & Precautions to Minimize Skin CancerGlobal Medical Cures™
Global Medical Cures™ | Sun Safety & Precautions to Minimize Skin Cancer
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Global Medical Cures™ | NEW YORK STATE- Cardiovascular Disease MortalityGlobal Medical Cures™
Global Medical Cures™ | NEW YORK STATE- Cardiovascular Disease Mortality
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Global Medical Cures™ | Get it Straight- The Facts about Drugs (STUDENT GUIDE) Global Medical Cures™
Global Medical Cures™ | Get it Straight- The Facts about Drugs (STUDENT GUIDE)
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Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and conditions, such as hepatitis and chronic alcoholism
Almost 2 million people around the world die annually because of liver-inflicted diseases. According to scientists, the number is set to increase drastically by 2030. Liver cancer and cirrhosis account for 3.5% of all fatalities (death) globally.
Timely diagnosis and effective treatment can save a person from the complications of liver cirrhosis. Liver cirrhosis treatment in India is affordable and highly effective due to highly-qualified hepatologists concerning themselves with the condition.
A Beautiful presentation about the importance of your kidneys. How to protect them, How to know impending disorders before hand and keeping your self in good spirits.
Discover comprehensive insights into liver diseases – their types, symptoms, and more with Kaizen Gastro Care. Empower yourself with knowledge to safeguard your liver health today.
What is liver Cirrhosis?
Liver cirrhosis is a devastating condition affecting thousands of people every year. It is a condition that results from chronic alcohol consumption and has many other reasons behind it. Liver cirrhosis is an end-stage liver disease characterized by the deep scarring of the liver tissue. In this condition, the healthy liver tissue is replaced with damaged tissue leaving a permanent scar in the liver. The damaged liver tissue may keep your liver from functioning properly.
Also, various liver diseases and conditions injure the healthy liver cells and result in hepatocyte cell death and inflammation. This is followed by cell repair and, finally, tissue scarring due to the repair process.
The damaged/scarred tissue inhibits the blood flow towards the liver. It hampers its ability to digest and process the various nutrients, medications, hormones, and natural toxins (poisons) that we consume in our day to day life. The liver also plays a vital role in producing proteins and other substances, which may be hampered due to liver disease like liver cirrhosis. Liver Cirrhosis treatment, when not undertaken at the right time, can become a life-threatening disorder.
Liver Cirrhosis is one of the deadliest complications, which is caused by liver diseases. Irreversible scarring and loss of liver cells are involved in Liver Cirrhosis. The major causes of Liver Cirrhosis are consumption of alcohol and Hepatitis B and Hepatitis C as well. There can be other causes and diseases which may lead to cirrhosis of the liver.
Liver Cirrhosis
Symptoms Of Liver Cirrhosis
People in the initial stages may go through a feeling of weakness, and there might be a sudden loss in weight without any particular reason. In the later stages, the patients may have jaundice. The following are the symptoms that a person suffering from Liver Cirrhosis may have in different parts of the body:
Abdomen: There may be severe pain in the abdomen region, and veins around the belly button may get enlarged.
Gastrointestinal: There may be bleeding occurrences, and fluids may start to accumulate in the abdomen. There can be an excessive formation of gas. The Excretion of dark stool is also a visible symptom.
Skin: Skin may turn yellow along with swelling of blood vessels that can be visible through the skin.
Mind: It not only affects the body but the mind as well; you may go through nausea and may feel a sense of confusion all the time.
Whole Body: You may gain or lose weight unintentionally without doing anything about it. There can be breast enlargement, dark urine, breathlessness, itching, vomiting of blood, etc
Other Services
Endoscopy
Colonoscopy
ERCP
Sigmoidoscopy
Pancreatic Disease
Liver Cirrhosis Treatment in Chandigarh
How can I prevent cirrhosis of the liver?
Liver cirrhosis treatment involves many lifestyle and dietary modifications which needs to be followed along with the medical treatment. Some of the lifestyle modifications for liver cirrhosis treat
Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and conditions, such as hepatitis and chronic alcoholism. ... As cirrhosis progresses, more and more scar tissue forms, making it difficult for the liver to function (decompensated cirrhosis)
Lipid Screening in Childhood for Detection of Multifactorial DyslipidemiaGlobal Medical Cures™
Lipid Screening in Childhood for Detection of Multifactorial Dyslipidemia
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www.globalmedicalcures.com
Skin Cancer Screening
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
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Global Medical Cures™ | USA Chartbook on HealthCare for Blacks
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Global Medical Cures™ | Older Americans- Key Indicators of Well Being Global Medical Cures™
Global Medical Cures™ | Older Americans- Key Indicators of Well Being
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
Global Medical Cures™ | Staggering Increase in Generic Drugs PricingGlobal Medical Cures™
Global Medical Cures™ | Staggering Increase in Generic Drugs Pricing
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Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Dangers & Consequences of Marijuana Abuse
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Global Medical Cures™ | Harmful Interactions
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Global Medical Cures™ | Medicines for Treating Depression
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Global Medical Cures™ | Women & Depression
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Global Medical Cures™ | National Strategy for Combating Antibiotic Resistant ...Global Medical Cures™
Global Medical Cures™ | National Strategy for Combating Antibiotic Resistant Bacteria
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Global Medical Cures™ | PCAST Report- Combating Antibiotic ResistanceGlobal Medical Cures™
Global Medical Cures™ | PCAST Report- Combating Antibiotic Resistance
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Global Medical Cures™ | Physical Activity Guidelines for Americans
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Global Medical Cures™ | Dietary Guidelines for Americans
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Global Medical Cures™ | Aging and your Eyes
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Global Medical Cures™ | Drugs approved for Bone Cancer
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Global Medical Cures™ | Drugs approved for Breast Cancer
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Global Medical Cures™| Drugs approved for Head and Neck Cancer
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Global Medical Cures™| Drugs approved for Pancreatic Cancer
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Global Medical Cures™ | Drugs approved for LUNG CANCER
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Global Medical Cures™ | Anger Management for Substance Abuse & Mental Health ...Global Medical Cures™
Global Medical Cures™ | Anger Management for Substance Abuse & Mental Health Clients
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
NVBDCP.pptx Nation vector borne disease control program
Global Medical Cures™ | Cirrhosis of the Liver
1. What I need to know about
Liver
Cirrhosis of the Liver
NATIONAL INSTITUTES OF HEALTH
National Digestive Diseases Information Clearinghouse
U.S. Department
of Health and
Human Services
2.
3. What I need to know about
Cirrhosis of the Liver
NATIONAL INSTITUTES OF HEALTH
National Digestive Diseases Information Clearinghouse
4. Contents
What is cirrhosis of the liver? ................................. 1
What are the symptoms of cirrhosis?..................... 2
What causes cirrhosis? ............................................ 3
How is cirrhosis diagnosed? ................................... 4
How is cirrhosis treated? ........................................ 6
How can I prevent cirrhosis if I already have
liver disease? ............................................................ 7
What can I do to keep cirrhosis from
getting worse? .......................................................... 8
For More Information............................................. 9
Acknowledgments ................................................. 10
5. What is cirrhosis of the liver?
Cirrhosis refers to scarring of the liver. Scar tissue
forms because of injury or long-term disease. It
replaces healthy tissue.
Scar tissue cannot do what healthy liver tissue
does—make protein, help fight infections, clean
the blood, help digest
food, and store energy
for when you need it.
Scar tissue also blocks
the normal flow of blood
through the liver. Too
much scar tissue means
Liver
that your liver cannot
work properly. To live,
you need a liver that
works.
Cirrhosis can be lifethreatening, but it can
also be controlled if
treated early.
1
6. What are the symptoms of cirrhosis?
You may have no symptoms at all in the early
stages. As cirrhosis progresses you may
●
feel tired or weak
●
lose your appetite
●
feel sick to your stomach
●
lose weight
Cirrhosis can also lead to other problems.
●
You may bruise or bleed easily, or have
nosebleeds.
●
Bloating or swelling may occur as fluid builds up
in the abdomen or legs. Fluid build up in the
abdomen is called ascites (ah-SI-teez) and in
the legs is called edema.
●
Medications may have a stronger effect on you
because your liver does not break them down
as quickly.
●
Waste materials from food may build up in the
blood or brain and may cause confusion or
difficulty thinking. For example, protein that
you eat breaks down into chemicals like
ammonia. When red blood cells get old, they
break down and leave a substance called
bilirubin (bil-ih-ROO-bun). A healthy liver
removes these byproducts, but a diseased liver
leaves them in the body.
2
7. ●
Blood pressure may increase in the vein entering
the liver, a condition called portal hypertension.
●
Enlarged veins, called varices (VARE-ah-seez),
may develop in the esophagus and stomach.
Varices can bleed suddenly, causing vomiting of
blood or passing of blood in a bowel movement.
●
The kidneys may not work properly or may fail.
As cirrhosis progresses, your skin and the whites of
your eyes may turn yellow, a condition called
jaundice (JON-diss). You may also develop severe
itching or gallstones.
In the early stages, cirrhosis causes your liver to
swell. Then, as more scar tissue replaces normal
tissue, the liver shrinks.
About 5 percent of patients with cirrhosis also get
cancer of the liver.
What causes cirrhosis?
Cirrhosis has many causes, including
●
alcohol abuse (alcoholic liver disease)
●
chronic viral hepatitis (hepatitis B, C, or D)
●
autoimmune hepatitis, which is destruction of
liver cells by the body’s immune system
●
nonalcoholic fatty liver disease or nonalcoholic
steatohepatitis (NASH), which is fat deposits
and inflammation in the liver
3
8. ●
some drugs, toxins, and infections
●
blocked bile ducts, the tubes that carry bile
from the liver
●
some inherited diseases such as
• hemochromatosis (HEE-moh-KROH-muh
TOH-sus), a disease that occurs when the
body absorbs too much iron and stores the
excess iron in the liver, pancreas, and other
organs
• Wilson disease, which is caused by the buildup
of too much copper in the liver
• protoporphyria (PROH-toh-pour-FEAR
ee-uh), a disorder that affects the skin,
bone marrow, and liver
Sometimes the cause of cirrhosis remains unknown
even after a thorough medical examination.
How is cirrhosis diagnosed?
Your symptoms, a physical examination, and
certain tests can help your doctor diagnose
cirrhosis. Some tests are
●
4
Blood tests to see whether your liver is working
properly. Routine blood tests may be normal in
cirrhosis. However, with advanced cirrhosis,
blood tests may reveal abnormal levels of
bilirubin and other substances.
9. ●
X rays, magnetic resonance imaging, or
ultrasound images, which are pictures developed
from sound waves, may show an enlarged or
shrunken liver.
●
Liver biopsy, an examination of a piece of your
liver under a microscope, to look for scar tissue.
This is the most accurate way to diagnose
cirrhosis.
Healthy liver
Smooth tissue
Diseased liver
Scarred tissue
In a liver biopsy, a needle is used to take a small piece of
liver tissue. That sample is then examined under a
microscope.
5
10. How is cirrhosis treated?
Once you have cirrhosis, nothing can make the
scar tissue go away completely. However, treating
the cause will keep cirrhosis from getting worse.
For example, if cirrhosis is due to alcoholic liver
disease, the treatment is to completely stop
drinking alcohol. If cirrhosis is caused by
hepatitis C, then that disease may be treated
with medication.
Your doctor will suggest treatment based on the
cause of your cirrhosis and your symptoms. Early
diagnosis and carefully following an appropriate
treatment plan can help many people with
cirrhosis. In very advanced cirrhosis, however,
certain treatments may not be possible. In that
situation, your doctors will work with you to
prevent or manage the complications that
cirrhosis can cause.
What if the treatment doesn’t work?
If too much scar tissue forms, your liver could
fail. Then you may need to consider a liver
transplant. A liver transplant can return you
to good health. For information about liver
transplantation, please see the What I need to
know about Liver Transplantation booklet
from the National Institute of Diabetes and
Digestive and Kidney Diseases.
6
11. How can I prevent cirrhosis if
I already have liver disease?
●
See your doctor for treatment of your liver
disease. Many of the causes of cirrhosis are
treatable, and early treatment may prevent
cirrhosis.
●
Follow a healthy lifestyle, eat a healthy diet,
and stay active.
●
Try to keep your weight in the normal range.
Being overweight can make several liver
diseases worse.
●
Do not drink alcohol. Alcohol can harm liver
cells, and chronic alcohol use is one of the
major causes of cirrhosis.
●
Stay away from illegal (street) drugs, which can
increase your chances of getting hepatitis B or
hepatitis C.
●
See your doctor if you have chronic viral
hepatitis. Effective treatments for both hepatitis
B and hepatitis C are available. If you are on
treatment, follow your treatment directions
exactly.
●
If you have autoimmune hepatitis, take
medications and have regular check-ups as
recommended by your doctor or a liver
specialist (hepatologist).
7
12. What can I do to keep cirrhosis
from getting worse?
●
Stop drinking alcohol completely.
●
Do not take any medications, including those
you can buy without a prescription such as
vitamins and herbal supplements, without
discussing them with your doctor. Cirrhosis
makes your liver sensitive to certain medications.
●
Get vaccinated against hepatitis A and hepatitis
B. These forms of liver disease are preventable.
Also, ask your doctor about getting a flu shot
and being vaccinated against pneumonia.
●
Avoid eating raw oysters or other raw shellfish.
Raw shellfish can harbor bacteria (Vibrio
vulnificus) that cause severe infections in
people with cirrhosis.
8
13. For More Information
American Liver Foundation
75 Maiden Lane, Suite 603
New York, NY 10038–4810
24-hour helpline (7 days/week): 1–800–465–4837
or 1–888–443–7872
Phone: 1–800–676–9340 or 212–668–1000
Email: info@liverfoundation.org
Internet: www.liverfoundation.org
Hepatitis Foundation International
504 Blick Drive
Silver Spring, MD 20904–2901
Phone: 1–800–891–0707 or 301–622–4200
Email: hfi@comcast.net
Internet: www.hepfi.org
9
14. Acknowledgments
The National Digestive Diseases Information
Clearinghouse (NDDIC) would like to thank the
following individuals for assisting with scientific
and editorial review of this publication.
Herbert L. Bonkovsky, M.D.
University of Connecticut at Hartford
Michael W. Fried, M.D.
University of North Carolina at Chapel Hill
Timothy R. Morgan, M.D.
VA Medical Center
Long Beach, CA
Thanks also to the following individuals for
facilitating field-testing of this publication.
Rebecca McBurney, R.N.
Yoon Park, R.N.
Liver Diseases Branch and Clinical Center
National Institutes of Health
Bethesda, MD
10
15. National Digestive Diseases
Information Clearinghouse
2 Information Way
Bethesda, MD 20892–3570
Phone: 1–800–891–5389
Fax: 703–738–4929
Email: nddic@info.niddk.nih.gov
Internet: www.digestive.niddk.nih.gov
The National Digestive Diseases Information Clearinghouse
(NDDIC) is a service of the National Institute of Diabetes
and Digestive and Kidney Diseases (NIDDK). The NIDDK
is part of the National Institutes of Health under the U.S.
Department of Health and Human Services. Established
in 1980, the Clearinghouse provides information about
digestive diseases to people with digestive disorders and to
their families, health care professionals, and the public.
The NDDIC answers inquiries, develops and distributes
publications, and works closely with professional and patient
organizations and Government agencies to coordinate
resources about digestive diseases.
Publications produced by the Clearinghouse are carefully
reviewed by both NIDDK scientists and outside experts.
This publication is not copyrighted. The Clearinghouse
encourages users of this booklet to duplicate and
distribute as many copies as desired.
This booklet is also available at www.digestive.niddk.nih.gov.
16. U.S. DEPARTMENT OF HEALTH
AND HUMAN SERVICES
National Institutes of Health
National Institute of Diabetes and
Digestive and Kidney Diseases
NIH Publication No. 06–5166
October 2005