Question

could you pls add illustrations, thank you.

P o Data alalySIST A 48-year-old homeless male is brought into the ER with severe epigastric pain and hematemesis d slightly disoriented. Upon physical examination patient is jaundiced and tachycardic with low blood ressure, anemia, mass in right and left hypochondrium and severe abdominal distension, some rominent veins on cheek and abdomen. Explain using illustrations the progression of the condition. Vhy the patient has hematemesis, and prominent veins? What are the masses in the areas described bove?

Answer 1

Patient is likely to have liver cirhosis

Abdominal distension is due to ascites as fluid rich in protein mat accumulate in the peritoneal cavity.

Hematemesia and distended veins obstruction of blood flow through the liver caused by fibrotic changes leads to shunting of blood from portal vessels into blood vessels with lower pressure leading to prominent veins on abdomen

These vessels may rupture and bleed leading to hematemesis

Anaemia- Inadequate formation, use and storage of vitamin k lead to hemorrhagic phenomena and anemia

Tachycardia and low blood pressure are due to blood loss.

Mass in right and left hypocondrium - Due to scarring of liver which is present in right hypochondriac region but slightly spread to left hypochondrium so masses can be felt in both hypochondrium