BSU Liver Cirrhosis Case Study

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answer the case study questions and do a PowerPoint slides with the case study attached below

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Patient's Chief Complaints 


Provided by wife: My husband's very confused and he has been acting strangely.

BSU Liver Cirrhosis Case Study
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BSU Liver Cirrhosis Case Study
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BSU Liver Cirrhosis Case Study
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BSU Liver Cirrhosis Case Study
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BSU Liver Cirrhosis Case Study
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TechnicalTutorGueye
School: University of Maryland

Attached.

Running head: CASE STUDY - CIRRHOSIS
1

Case Study - Cirrhosis
Name
Institution
Course
Date

CASE STUDY - CIRRHOSIS
2

Case Study - Cirrhosis
Patient Case Question 1
According to Tsochatzis et.al (2017), tarry stools and hematemesis are clinical signs of
portal hypertension, and it can as well result to esophageal bleeding which refers to bursting and
bleeding of smaller blood vessels.
Patient Case Question 2
According to Muir (2015), the clinical signs as well as symptoms which are consistent with
cirrhosis diagnosis include;
1. Jaundice (the yellow staining of the whites of the eyes as well as the skin).
2. Ascites (fluid accumulation in the abdomen which is abnormal)
3. Spider angioma (swollen blood vessels slightly beneath the surface of the skin).
4. Abdominal pain
5. Nausea (urge to vomit)
6. Loss of energy and fatigue
7. Splenomegaly (abnormal spleen enlargement) and hepatomegaly (abnormal enlargement
of the liver)
8. Thinking problems or confusion
9. Clay or pale-colored stools
10. Thrombocytopenia and abnormal bleeding
11. Palms of the hands being reddish
12. Anorexia (total aversion to food or markedly reduced appetite)
13. Shrinking of testicles, breast swelling and impotence in men

CASE STUDY - CIRRHOSIS
3

14. Edema (swelling) in the legs
15. Weight loss.
Patient Case Question 3
The patient is anemic at this point and the anemia he has is normocytic. The anemia is
normocytic because his laboratory blood test results indicate an MCV of 90 fL or 90 mm3 . The
range for normocytic is usually 80 mm3 to 95 mm3 (Jolobe, 2018).
Patient Case Question 4
The most significant abnormality which has been revealed by the complete blood count
(CBC) of this patient is that the platelets are 34, 500 and this indicates that spontaneous bleeding
has high chances of occurring (Nguyen et.al, 2017).
Patient Case Question 5
The cirrhosis of the patient based on the data from the laboratory, has shown an
unexpected and sudden progression due to the positive (+) HCV. This is to mean that a recent
Hepatitis C Virus (HCV) has occurred (Tsochatzis et.al, 2017).
Patient Case Question 6
According to Tsochatzis et.al (2017), the risk factors which would have contributed to the
current condition of the patient are;
1. Heavy ethanol or ethyl alcohol (ETOH).
2. Positive (+) anti Hepatitis C Virus (HCV) test.
3. Alpha fetoprotein (AFP) elevated.
4. Weight/gender; the patient has male overweight.

CASE STUDY - CIRRHOSIS
4

Patient Case Question 7
Bacterial peritonitis can be ruled out to be a potential diagnosis currently due to the fact
that white blood cells count (WBC) is not elevated; actually it is decreased (Nguyen et.al, 2017).
Patient Case Question 8
The justification which the primary health care provider can have for conducting
Antinuclear Antibodies (ANA) test is in order for him or her to rule out any autoimmune disease
that could be responsible for causing liver damage (Pisetsky, 2017).
Patient Case Question 9
Hemochromatosis can be ruled out to be contributing factor to the condition of this
patient due to the fact that transferrin, ferratin and Fe are within range and this is to mean that the
patient is not overloaded with iron (Tsochatzis et.al, 2017).
Patient Case Question 10
Wilson disease which is an inherited disorder and it results to too much copper being
accumulated in the body, can be ruled out to be a contributing factor to the condition of this
patient due to the fact that Ceruloplasmin is not within normal limit (WNL). The normal range
for Ceruloplasmin is between 20 and 35 milligrams per deciliter (mg/dl) while that of the patient
is 37 mg/dl an indicatio...

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Anonymous
Good stuff. Would use again.

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