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Liver Cirrhosis Case Presentation

Liver Cirrhosis Case Presentation

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Published by jennachristy03

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Published by: jennachristy03 on Aug 29, 2010
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10/06/2013

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ACKNOWLEDGEMENT
The group would like to express their heartfelt gratitude, sincere appreciation and profound regards to the following people who, in one way or another, gave guidance,strength, and encouragement in making this case presentation possible.First of all, to Almighty God the Father, who granted us the knowledge and skills,Who send forth the gift of Holy spirit that aided them in completing this study. WithoutHim, none of these things would be possible.To their family, friends, and classmates, for their consideration and unendingsupport, emotionally, spiritually and financially.To their clinical instructor, Mrs. Jocelyn Ferraren, RN, for guiding us in thecourse of making this case presentation and giving them tips on how to have a good presentation.To all medical personnel and staff members of DMC, MED-CP ward, for thewarm accommodation during their clinical exposure and for giving them inspiration tokeep the spirit of caring burning.To the members of the group, for sharing ideas, cooperating and giving full effortin making the case presentation successful.
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Lastly, to our client and his family for their acceptance and willingnessto share time, effort and giving us the essential information needed for thiscase presentation.
INTRODUCTION
The liver is one of the largest and most complex organs in the body. It stores vitalenergy and nutrients, manufactures proteins and enzymes necessary for good health, protects the body from disease, and breaks down (or metabolizes) and helps removeharmful toxins, like alcohol, from the body. It is one of the most important organs in the body since it has many significant functions. A lack or failure to provide proper care of itmay lead to an abnormality or disorder. One of the severe forms that may happen is Liver Cirrhosis.Liver Cirrhosis is derived from Greek word
kirrhos
, meaning "tawny" (theorange-yellow colour of the diseased liver).It is a chronic disease that causes celldestruction and fibrosis (scarring) of hepatic tissue. Fibrosis alters normal liver structureand vasculature, impairing blood and lymph flow and resulting in hepatic insufficiencyand hypertension in the portal vein. Cirrhosis is most commonly caused byalcoholism,hepatitis BandCandfatty liver diseasebut has many other possible causes. Some cases areidiopathic,i.e., of unknown cause. It may be classified by the structural changes thattake place or by the cause of the disorder.Internationally, liver cirrhosis is the 8th
th
most common cause of death. It is mostcommon among people ages 45 – 75, killing more than 25,000 people each year, 50% of which are alcohol related. In the Philippines and other underdeveloped countries,
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however, the incidence of liver cancer is rather high. Liver cancer is relatively commonin our country primarily because many Filipinos suffer from cirrhosis of the liver, a major risk factor for liver cancer. Cirrhosis of the liver precedes 80 percent of all liver cancers;thus, any condition that predisposes to cirrhosis indirectly causes liver cancer. The usualcause of liver cirrhosis among Filipinos is chronic hepatitis B, a major public health problem in the country. Chronic hepatitis B afflicts between 10 and 12 percent of allFilipinos (i.e., more than 8 million Filipinos). Other less significant causes of cirrhosisare hepatitis C infection and alcoholism. The latest DOH advisory shows that liver cancer is the third most common form of cancer among Filipinos—in men, it is the second mostcommon, while in women, it is the ninth most common. Locally, liver cirrhosis is the 17
th
leading cause of death here in Davao.In connection with it, last February 11, 2010, the Group 3 of section 3H wasassigned on duty at the Davao Medical Center- Communicable Pavilion where they mettheir patient Mr. Cute who was diagnosed of having Liver Cirrhosis. They weremotivated to learn more and study the disorder since it was their first time to encounter such case. Also, the group was more encouraged to choose the patient for their case presentation in order to acquire better understanding and to gain more knowledge and useit for the future.
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