Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Final and irreversible phase of alcoholic liver disease.
• Develops in approximately 33% of alcoholics.
• Requires years of chronic injury.
• Progressive.
• Begins as a yellow, fatty and enlarged liver.
• After years of scarring, it becomes small shrunken and fibrotic.
• Initially the fibrosis is fine and delicate, extending through the sinusoids from the central vein to the portal triads.
• Attempts at regeneration, combined with parenchymal scarring leads to the classic nodular pattern.

General aspects of cirrhosis.                                       Back