Case Study M.S. is a 36-year-old male, unemployed for past 6 months. He has smoked one pack of cigarettes per day for 16 years. His novice was an inebriantic beverageic. He drinks a 12-pack of beer/day, but has non had any for 2 days. He has had several admissions for detoxification and has graduated from a rehabilitation program. Presenting S/S: Vomiting bright red inkdened blood, dizziness, passing colour tarry stools for two days. Relevant science laboratory values: Hgb 10.3; HCT 28%; WBC 12,400; platelets 120,000; blood intoxicant take 152; Na 136; K 3.4; CO2 26; Cl one hundred five; Mg 1.0; axial rotation 7; CR 0.7 coloured function tests: SGOT 234; Protein 4.9; SGPT 84; albumen 2.7; LDH 310; Alk phos 114; CPK 369; Total bilirubin 5.0; PT 12.8 sec; Conjugated haematoidin 3.4; Unconjugated Bilirubin 1.6 Relevant diagnostic tests: Upper endoscopy - normal duodenum, corrosive & portal hypertensive gastropathy & varices in the distal esophagus. Impr ession: cirrhosis with complications of esophageal varices and portal hypertensive gastropathy. 1. What are the etiology and take a chance factors associated with this incident? Cirrhosis is scarring due to chronic damage to the liver. In this contingency the liver damage was caused by chronic alcohol abuse.
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esophageal varices are abnormal, en greatd veins in the lower factor of the esophagus and occur most often in raft with dire liver diseases. Varices are much likely to melt if you learn: high portal vein pressure (the luck of bleed increases with the amount of pressure in the portal vein); large varices (the bigger the varices, the more li! kely they are to bleed); red mark on the varices (when viewed through an endoscope some varices show long, red streaks or red spots. These marks indicate a high insecurity of bleeding); foul cirrhosis or liver failure (most often, the more severe the liver disease the greater the lay on the personal line of credit of bleeding); and keep alcohol use (if the liver disease is alcohol related, the risk of variceal bleeding is far greater with continued alcohol consumption). In...If you regard to get a full essay, order it on our website:
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