Mr. Weiser's Confusion
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

More to the take  home.
  • Consequences of portal hypertension:
    • Ascites
    • Portosystemic shunts; varices, hemorrhoids, caput medusae, spiders.
    • Splenomegaly; shortened life span for formed elements of blood, leads to anemia, infections and bleeding.
    • Hepatic encephalopathy.
  • Consequences of loss of functional liver tissue:
    • Decreased metabolism of estrogens; gynecomastia.
    • Malabsorption.
    • Decreased vitamin K dependent clotting factors.
    • Decreased albumin and other liver dependent proteins.
    • Icterus, leading to unbelievable itching.
Hey, I think I've got it now, let me take the quiz.                   Back
 

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