CBD

Question 1

Sx liver cirrhosis

Answer 1

• Jaundice
• Itching
• Abdo pain
• bruising
• Anorexia - can’t be bothered to eat, get nutrients from and spend all money on alcohol
• fatigue
• SOB
• lower limb swelling - liver can’t make protein so fluid leaks - no osmotic pressure in intravascular space

Question 2

Difference between symptom and sign

Answer 2

Symptom is what a patient complains of and a sign is what you can investigate

Question 3

Why can’t you feel the liver in cirrhosis?

Answer 3

It shrinks up under the rib cage

Question 4

What happens to the size of the liver in hepatitis ?

Answer 4

Initially, pt will have acute enlarged liver but as it fibrosis it shrinks

Question 5

Courvoisier’s law

Answer 5

Palpable gall bladder + jaundice = pancreatic cancer

Question 6

Causes of enlarged liver

Answer 6

• Infection
• Cancer
• Autoimmune
• Drugs
• Hepatitis
• Heart failure
• Cysts
• Tumours
• Leukaemia
• Malaria
• NAFLD - non-alcohol fatty liver disease

Question 7

Treating varices

Answer 7

• Variceal banding
• B blocker
• Vasopressin
• Treat coagulopathy

Sengstaken-Blakemore tube