This preview shows pages 1–2. Sign up to view the full content.
This preview has intentionally blurred sections. Sign up to view the full version.View Full Document
Unformatted text preview: portal HTN collateral circulation esophageal varices: balloon tamponade (balloon in esophagus), sclerotherapy (cauterize TIPS to stop bleeding) medications (isosorbide + madolol); TIPS decreased serum albumin decreased plasma oncotic pressure reduced renal blood flow altered aldosterone production/metabolism Na retention ascites: accumulation of water in abdominal caity splenomegaly hyperammonemia sources of blood ammonia dietary protein sloughed cells GI bleeding urea cellular metabolism laboratory/clinical findings increased serum enzymes increased serum ammonia hypoalbuminemia increased serum bilirubin low platelets; increased PT; easy bruising jaundice, itching ascites splenomegaly (enlarged spleen) wt loss; malnutrition (PCM)...
View Full Document
- Spring '09