8 a A 65-year-old man with chronic liver disease presents with confusion and abdominal distension. On inspection, he has palmar erythema, spider angiomas, and gynecomastia. What is the most likely underlying condition? A. nephrotic syndromeB. duodenal obstruction C. liver cirrhosis D. Crohn disease
Added by Michael G.
Step 1
The patient has confusion, abdominal distension, palmar erythema, spider angiomas, and gynecomastia. These symptoms are indicative of liver dysfunction. Show more…
Show all steps
Your feedback will help us improve your experience
Asma Venkitta and 83 other Biology educators are ready to help you.
Ask a new question
Labs
Want to see this concept in action?
Explore this concept interactively to see how it behaves as you change inputs.
Key Concepts
Recommended Videos
A 45-year-old woman is brought to the emergency department by a neighbor because of confusion and disorientation for 1 day. She has a sweet and sour body odor. She appears drowsy. Physical examination shows jaundice, spider angiomata, hepatomegaly, and flapping tremors of the extremities. Laboratory studies show a prolonged prothrombin time, anemia, hyperbilirubinemia, hyperammonemia, and hypoalbuminemia. Test of the stool for occult blood is positive. Which of the following mechanisms is the most likely cause of the encephalopathy in this patient? A) Decreased concentration of y-aminobutyric acid in the central nervous system B) Decreased concentration of glycine in the central nervous system C) Decreased dietary intake of protein D) Excessive bilirubin deposition in the central nervous system E) Shunting of portal venous blood into the systemic circulation
Asma V.
A 59-year-old man develops fatigue and decreased appetite 3 months after receiving a mechanical aortic valve replacement. His pulse is 88/min, respirations are 12min, and blood pressure is 140/54 mm Hg. He appears tired. Physical examination shows mild scleral icterus. Jugular venous pressure is 8 cm H-0, and carotid upstrokes are normal. Lung fields are clear. Cardiac examination shows crisp prosthetic valve sounds and a grade 2/6, decrescendo diastolic murmur at the left sternal border. Abdominal examination shows no tenderness, normal liver size, and normal bowel sounds. Laboratory studies of serum show a total bilirubin concentration of 4 mg/dL and a direct bilirubin concentration of 1 mg/dL. Which of the following is the most likely cause of the jaundice in this patient? A) Cholelithiasis B) Cholestasis C) Hemolysis D) Hepatorellular disease E) Passive congestion
A 33 – year – old man with a history of chronic liver disease presents with edema, abdominal pain, and recent weight loss. Laboratory examination reveals low platelet count, hypoalbuminemia, and prolonged prothrombin time and partial thromboplastin time.
Madhur L.
Recommended Textbooks
Biology for AP Courses
Objective Biology for NEET
Introduction to General, Organic and Biochemistry
Transcript
18,000,000+
Students on Numerade
Trusted by students at 8,000+ universities
Watch the video solution with this free unlock.
EMAIL
PASSWORD