Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
METHODOLOGY TEXT BOOK 2009 2010.doc
Скачиваний:
0
Добавлен:
01.05.2025
Размер:
1.71 Mб
Скачать

Diseases of the liver and gallbladder

HEPATITIS A

HEPATITIS B

HEPATITIS

C

HEPATO-CELLULARCARCI-NOMA

ALCOHOL INDUCED CIRRHOSIS

GALL-BLADDER

DISEASE

Definition

Infectious hepatitis

Serum hepatitis

Non-A non –B hepatitis transfusion hepatitis

A malignance that begins in the liver cells

Irreversible damage of the liver secondarily to toxic effects of alcohol

Problems that result from the presence of gall stones

Risk factors and or causes

Alcohol, drug use, acetominophen overdose,

Viral infections

Personal contacts with infected oral secretions or stool, sexual contacts

Sexual contacts, infected blood products

Transfusion (5%-15%); drug abuse (40%),

Unexplained causes(40%)

Hepatitis B, C, long-standing cirrhosis

Secondarily to toxic effects of alcohol

primary biliary cirrhosis,

hemochroma-tosis

Gallstones in the gallbladder, a gallstone stuck in the common bile duct or cystic duct

Symptoms and complica-tions

Jaundice, itching weakness, nausea, right upper quadrant abdominal pains, upper respiratory symptoms

Jaundice, itching weakness, nausea, right upper quadrant abdominal pains, upper respiratory symptoms

Mild symptoms. asymptomatic

Jaundice, itching weakness, nausea, right upper quadrant abdominal pains, upper respiratory symptoms

Abdominal pains, weight loss, a large mass in the upper right part of the abdomen, fever, rushing sounds, scratchy sounds

GI bleedings, CHF, PUD, malnutrition;

Abdominal pains,swelling, vomiting, occasionally with blood, jaundice, muscle weakness, weight loss

Sharp pains in the right upper abdominal part, nausea, vomiting, fever

Evaluation

CBC, liver profile, coagulation profile, anti-body tests, hepatic screen, x-ray, ultrasound

CBC, liver profile, coagulation profile, anti-body tests, hepatic screen, x-ray, ultrasound

CBC, liver profile, coagulation profile, anti-body tests, hepatic screen, x-ray, ultrasound

Blood tests, abdominal ultrasound, hepatic arteriography, liver biopsy

CBC, liver profile, coagulation profile,UGI series,

IGI endoscopy, biopsy

CBC, blood chemistry, liver profile, amylase tests,

x-rays, ultrasound

Treatment

Supportive treatment, avoidance of alcohol, good personal hygiene

Supportive treatment, avoidance of alcohol, good personal hygiene

Supportive treatment, avoidance of alcohol, good personal hygiene, alpha 2b interferon therapy

Complex therapy

Surgery radiation therapy

Chemo-therapy

Avoidance of alcohol, nutritional supplements, B-complex vitamins, diuretics, diet low in proteins and fats

Medications that relieve pains, vomiting, inflammations

And dissolve stones, cholecystectomy