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Chronic Liver Cirrhosis for sine , sysmptoms and Homeopathic treatment

By:   |   Jul 08, 2018   |   Views: 20   |   Comments: 0

  

Liver Cirrhrosis  following signs and symptoms may occur in the presence of cirrhosis or as a result of the complications of cirrhosis. Many are nonspecific and may occur in other diseases and do not necessarily point to cirrhosis. Likewise, the absence of any does not rule out the possibility of cirrhosis.

1. Spider angiomata or spider nevi. Vascular lesions consisting of central arteriole surrounded by many smaller vessels due to an increase in estradiol.

2. Palmar erythema. Exaggerations of normal speckled mottling of the palm, due to altered sex hormone metabolism.

3. Muehrcke's nails - paired horizontal bands separated by normal color due to   hypoalbuminemia

4. Terry's nails - proximal two thirds of the nail plate appears white with distal one-third red, also due to hypoalbuminemia

5. Clubbing - Angle between the nail plate and proximal nail fold > 180 degrees

6. Hypertrophic osteoarthropathy. Chronic proliferative periostitis of the long bones that can cause considerable pain.

7. Dupuytren's contracture. Thickening and shortening of palmar fascia that leads to flexion deformities of the fingers. Thought to be due to fibroblastic proliferation and disorderly collagen deposition. It is relatively common (33% of patients).

8. Gynecomastia. Benign proliferation of glandular tissue of male breasts presenting with a rubbery or firm mass extending concentrically from the nipples. This is due to increased estradiol and can occur up to 66% of patients.

9  Liiver size. Can be enlarged, normal, or shrunken.

10. Splenomegaly. Due to congestion of the red pulp as a result of portal hypertension.

11. Hypogonadism. Manifested as impotence, infertility, loss of sexual drive, and testicular atrophy due to primary gonadal injury or suppression of hypothalamic or pituitary function.

12. Splenomegaly. Due to congestion of the red pulp as a result of portal hypertension.

13. Ascites. Accumulation of fluid in the peritoneal cavity giving rise to flank dullness (needs about 1500 mL to detect flank dullness).

14.Caput medusa. In portal hypertension, the umbilical vein may open. Blood from the portal venous system may be shunted through the periumbilical veins into the umbilical vein and ultimately to the abdominal wall veins, manifesting as caput medusa.

15.Cruveilhier-Baumgarten murmur. Venous hum heard in epigastric region due to collateral connections between portal system and the remnant of the umbilical vein in portal hypertension.

Fetor hepaticus Sweet pungent smell in breath due to increased dimethyl sulfide due to severe portal-systemic shunting.

16. Jaundice. Yellow discoloring of the skin, eye, and mucus membranes due to increased bilirubin (at least 2-3 mg/dL or 30 mmol/L). Urine may also appear dark.

17.Asterixis. Bilateral asynchronous flapping of outstretched, dorsiflexed hands seen in patients with hepatic encephalopathy.

18.Other. Weakness, fatigue, anorexia, weight loss.

Complications-

As the disease progresses, complications may develop. In some people, these may be the first signs of the disease.

1. Bruising and bleeding due to decreased production of coagulation Jaundice due to decreased processing of bilirubin.

2. Itching(pruritus) due to bile products deposited in the skin.

Hepatic encephalopathy- the liver does not clear ammonia and related nitrogenous substances from the blood, which are carried to the brain, affecting cerebral functioning: neglect of personal appearance, unresponsiveness, forgetfulness, trouble concentrating, or changes in sleep habits.

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