Med-Surg Exam Q-Bank 2023-2024(230 Questions (Answered) 100% Correct |Guarantee Pass
50% of liver disease in the US is directly related to alcohol consumption; of the estimated 15 million alcoholics in the USA 10-20% ha
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Med-Surg Exam Q-Bank 2023-2024(230 Questions (Answered) 100% Correct |Guarantee Pass
50% of liver disease in the US is directly related to alcohol consumption; of the estimated 15 million alcoholics in the USA 10-20% have or will develop this; growing number of cases related to chronic hepatitis C; a chronic progressive disease of the liver; extensive parenchymal cell degeneration; destruction of parenchymal cells? {{Ans- cirrhosis
Etiology and pathophysiology of cirrhosis: cell necrosis occurs; destroyed liver cells are replaced by _______; normal architecture becomes nodular? {{Ans- scar tissue
Etiology and pathophysiology of cirrhosis: associated with alcohol abuse; preceded by a theoretically reversible fatty infiltration of the liver cells; widespread scar formation; nonalcoholic fatty liver disease (NAFLD); complication of toxic or viral hepatitis; broad bands of scar tissue form within the liver? {{Ans- chronic liver disease
Etiology and pathophysiology of cirrhosis: associated with chronic biliary obstruction and infection; accounts for 15% of all cases of cirrhosis? {{Ans- biliary cirrhosis
Etiology and pathophysiology of cirrhosis: results from longstanding severe right-sided heart failure? {{Ans- cardiac cirrhosis
Five major functions of the liver? {{Ans- 1) drug metabolism & detoxification
2) metabolic (fat, carbohydrate, & protein metabolism; vitamin/mineral absorption)
3) blood volume reservoir
4) blood filter
5) production of blood clotting factors
Early s/s of liver cirrhosis? {{Ans- -onset usually insidious (gradual)
-GI disturbances: anorexia, dyspepsia, flatulence, n/v, change in bowel habits
-abdominal pain, fever, lassitude (lack of energy), weight loss, enlarged liver or spleen
Later s/s of liver cirrhosis? {{Ans- -two causative mechanisms: hepatocellular failure
and portal hypertension
-Leading to: jaundice, skin lesions (spider nevi on face, neck, shoulders due to increase in estrogen), hematologic problems (anemia, bleed very easily enlarged spleen), endocrine disturbances (small testes, gynecomastia amenorrhea), peripheral
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