Medicine powerpoint

Jun 29th, 2015
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Comprehensive power points in gynecology, internal medicine, ophthalmology, pharmacology, etc

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Liver CirrhosisK. Dionne Posey, MD, MPHInternal Medicine & PediatricsDecember 9, 2004IntroductionThe two most common causes in the UnitedStates are alcoholic liver disease andhepatitis C, which together account foralmost one-half of those undergoingtransplantationIntroduction 12th leading cause of death in the unitedstates in 2002On average about 27,000 deaths per yearPatients with cirrhosis are susceptible toa variety of complications and their lifeexpectancy is markedly reducedExactly How Much Do YouDrink?Estimated that the development of cirrhosisrequires, on average, the ingestion of 80grams of ethanol daily for 10 to 20 years This corresponds to approximately one literof wine, eight standard sized beers, or onehalf pint of hard liquor each dayPathophysiologyIrreversible chronic injury of the hepaticparenchymaExtensive fibrosis - distortion of thehepatic architectureFormation of regenerative nodulesClinical ManifestationsSpider angiomasPalmar erythemaNail changes Muehrcke's nails Terrys nailsGynecomastiaTesticular atrophyClinical ManifestationsMuehrcke's nailsTerrys nailsClinical ManifestationsFetor hepaticusJaundiceAsterixisPigment gallstonesParotid glandenlargementCruveilhierBaumgarten murmurHepatomegalySplenomegalyCaput medusaLaboratory Studiesmost common measured laborat

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