Cirrhosis - Chronic Alcoholism and Alcoholic Cirrhosis Case Study

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Please see attached document .Please type and answer question 1-19.Answer each question in power point format for graded presentation

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Patient’s chief complaints 

Provided by wife: My husband's very confused and he has been acting strangely. This morning he couldn’t answer my questions and seemed not to recognize me. 

Tutor Answer

School: Carnegie Mellon University


Case Study 18: Cirrhosis

Patient’s S.G
 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.
 H/O:

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
 Hematemesis

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,
 fatigue,
 icteric sclera,
 abdominal pain,
 (+) gynecomastia on the chest,
 abdominal bleeding,
 slightly tender abdomen
 weight gain
 firm abdomen
 moderately distended abdomen,

Question 3: Is the patient anaemic at this time and, if so, is the
anemia normocytic, microcytic, or macrocytic?

 The

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 ...

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