Case Study 18: Cirrhosis
A white male aged 46.
Has a history of chronic alcoholism.
Complaints of confusion and abdominal swelling.
Has gained 15 lbs.
Is acting strangely.
4 years ago diagnosed with cirrhosis.
uncontrolled peripheral edema and ascites,
presentation of acute pancreatitis, and
E. coli induced bacterial peritonitis.
Question 1: Hematemesis and tarry stools are clinical
signs of which serious potential complication of
is vomiting of blood.
Shows acute gastrointestinal (GI) bleeding.
GI can be a complication of cirrhosis.
Complication of cirrhosis can also be shown in
portal hypertension which can cause esophageal
bleeding justifying the presentation of tarry stools.
Question 2: Identify a minimum of 15 clinical signs and
symptoms that are consistent with a diagnosis of
Mild jaundice on the skin,
(+) hemorrhoids on the testicles
(+) chest spider nevi,
disoriented and confused,
(-) palmar erythema,
lower extremities having ecchymosis, nausea,
(+) gynecomastia on the chest,
slightly tender abdomen
moderately distended abdomen,
Question 3: Is the patient anaemic at this time and, if so, is the
anemia normocytic, microcytic, or macrocytic?
patient is not anemic at this time.
Hemoglobin of the patient is at 14 which is still
normal for a male.
MCV (90 fL) and
WBC (4700/mm3) are also normal ...