Cirrhosis, Hepatic

Alternate Name:

Test:

SALT (H), S.A5T (H), S.ALP (H), S.bilirubin:;(H),U.bilirubin (H), S.albumin (L), S.GGT (H), WCC (L), Hb (L), S.gamma-globulin (H), S.IgG (H), S.1gM (H), S.sodium (L), S.cholesterol (H), pro-thrombin time (H), S.antimitochondrial antibodies (H), S.copper (H), ultrasound (AB), CT (AB)

Sign:

Cachexia, chloasma, clubbing of fingers, cof­fee-grounds vomitus, hepatomegaly, pitting oe­dema, pleural effusion, shifting dullness (asci(es), spider naevi, splenomegaly, fluid thrill (ascites), xanthelasma, xanthomatosis

Dd:

Biliary tract obstruction by stone or neoplasm hepatitis, haemochromatosis hepatoma, CCF, hepatic abscess, TB, lymphoma, metastatic car­cinoma

Phys:

The liver responds to chronic and recurrent abuse by fibrosing and scarring. Portal (Laennec's):and postnecrotic are the most common forms of cir­rhosis