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CP E1 final

CP E1 final

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Published by Joevet T. Tadlas

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Published by: Joevet T. Tadlas on Feb 14, 2010
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05/20/2012

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Table of ContentsIntroductionBiographical DataHealth HistoryPastPresentFunctional Health PatternsGenogramPsychopathophysiologyPhysical Assessment and Review of System Normal Anatomy …Diagnostic and Laboratory ResultsPharmacotherapyPrognosisBibliography
 
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Introduction
Cirrhosis is a condition in which the liver slowly deteriorates and malfunctionsdue to chronic injury. Scar tissue replaces healthy liver tissue, partially blocking the flowof 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; and produce bile to help absorb fats—includingcholesterol—and fat-soluble vitamins.A healthy liver is able to regenerate most of its own cells when they becomedamaged. With end-stage cirrhosis, the liver can no longer effectively replace damagedcells. A healthy liver is necessary for survival.Many people with cirrhosis have no symptoms in the early stages of the disease.As the disease progresses, symptoms may include weakness, fatigue, loss of appetite,nausea, vomiting, weight loss, abdominal pain and bloating, itching, and spiderlike bloodvessels on the skin.Liver cirrhosis was the 12th leading cause of death in the United States in the year 2001, accounting for roughly 27,000 deaths, according to the Centers for Disease Controland Prevention. More than half of those deaths may be related to alcohol use and/or abuse, according to the National Institute on Alcohol Abuse and Alcoholism. Clearlydrinking can be harmful to the liver; moreover, a study in the June 2004 issue of Alcoholism: Clinical and Experimental Research has found that drinking patterns mayalso contribute to liver damage, and this effect may vary by gender.Cirrhosis has variouscauses. In the United States, heavy alcohol consumption and chronic hepatitis C have
 
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 been the most common causes of cirrhosis. Obesity is becoming a common cause ocirrhosis, either as the sole cause or in combination with alcohol, hepatitis C, or both.Many people with cirrhosis have more than one cause of liver damage.Treatment for cirrhosis depends on the cause of the disease and whether complications are present. The goals of treatment are to slow the progression of scar tissue in the liver and prevent or treat the complications of the disease. Hospitalizationmay be necessary for cirrhosis with complications.

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