Chapter 20 Case StudyMan with CirrhosisLenny Levitt, a 49-year-old carpenter, has just been diagnosed with cirrhosis,which is a consequence of his alcohol abuse over the past 25 years. Although heunderstands that he has an alcohol problem and recently entered an alcoholrehabilitation program, he is still drinking. At 5 feet 8 inches tall, Mr. Levitt, whoformerly weighed 160 pounds, now weighs 130 pounds. According to familymembers, he is showing signs of mental deterioration, such as forgetfulness and aninability to concentrate. He is jaundiced and appears thin, although his abdomen isdistended with ascites. Laboratory findings indicate elevated serum concentrationsof AST, ALT, and ammonia; reduced albumin levels; and hyperglycemia.1. Do Mr. Levitt’s laboratory vales suggest liver disease? Compare the results ofhis lab tests with the values shown in Table 20-3.
Get answer to your question and much more
2. from the limited information available, evaluate Mr. Levitt’s nutrition status.What medical problem makes it difficult to interpret his present weight? Describethe development of the type of problem in liver disease and explain how the diet isusually adjusted for such a patient.3. Estimate Mr. Levitt’s energy and protein needs. Describe the general diet youmight recommend for him. What suggestions do you have for increasing hisenergy intake
