Booze Blues:A Case Study on the LiverAbstract: Peggy Fender is an intoxicated, 59 year old woman who is visiting the emergency department complaining of abdominal pain. She states the pain is in the upper appropriate quadrant of her abdomen. The PA examines her and finds her emaciated, jaundiced, and also many type of bruises covering her arms, legs, and face; her liver is hard and also enlarged, in addition to her whole abdomen being ascitic (swollen and also fluid-filled). Mrs. Fender isn"t totally systematic bereason she knows who she is and also wbelow she is, but she can not tell much around her condition. A blood test mirrors elevated blood transaminases (liver enzymes), high blood glucose, and also extended prothrombin time (slowed clotting time). Based on her background and existing findings, the PA diagnoses Mrs. Fender via alcoholic cirrhosis, which resulted from her inflammation of the liver from heavy, and also regular alcohol ingestion. If alcohol abuse continues, it leads to fat build-up in the liver, along with fibrosis and significant liver disattribute.Questions:Besides the nurse"s “bender” comment, and also Mrs. Fender"s social background, Tim suspects alcohol abusage based on many type of of his physical exam findings. Name at least 3 indicators and/or symptoms that allude to alcoholism, and briefly describe why each sign/symptom might happen.- The tough and enlarged liver: Sometimes known as Hepatomegaly which is a disease that reason infection of your liver and disturb the blood circulation, this causes your liver to end up being infiltrated via benign or malignant tumors. They include mass to the liver, thereby enhancing its size. (healthline.com)- The elevated blood transaminases: This deserve to happen once alcohol has actually been over indulged in. (ncbi.nlm.nih.gov)- Ascites:Ascites is the buildup of fluid in the space in between the lining of the abdoguys and also abdominal organs. It outcomes from high...
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