15 Cirrhosis
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Cause and Stellate
![](https://photos.thisispiggy.com/file/wikiFiles/5B262332-70B0-4E53-8B6C-505C923495AD.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/1EE7DA1F-BD9E-4BF7-89E1-C3123ADE3D71.jpg)
- find it on the sides of sinusoids in liver
- produce fibrous tissues in cirrhosis
General Symptoms
![](https://photos.thisispiggy.com/file/wikiFiles/57D1450D-1D52-4F67-8CDD-15C4BAF3A35C.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/3E5B55FE-399F-4174-9702-1CC69B83CABF.jpg)
- liver convert ammonia to urea
![](https://photos.thisispiggy.com/file/wikiFiles/BC0012AD-2C7B-4E79-A278-A9CF8D130794.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/F11EF951-8563-4769-9F3C-B744AD9F94DF.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/AF146385-80D9-40AA-A912-0EA5DC94D65D.jpg)
- palmar erythema: thenar and hypothenar redness (think estrogen makes skin red)
Portal HTN
![](https://photos.thisispiggy.com/file/wikiFiles/374DA712-E605-478F-9463-476C05DF3385.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/FFBC6114-CA88-426C-A7CA-E61C5F4E3B27.jpg)
- hallmark in cirrhosis: vasodilation of splanchnic, low BP
![](https://photos.thisispiggy.com/file/wikiFiles/6D0EE5DD-F8AC-4BF1-A05A-CFAD3B9F29F1.jpg)
- must have portal HTN to develop ascites
![](https://photos.thisispiggy.com/file/wikiFiles/96462B10-4875-442A-ABDE-6BB271AB26A2.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/CB6CDD0B-01ED-42D7-8809-A36CD8507AFE.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/E4D001A7-9325-4EAF-8B11-4A016F205E5B.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/3C82771D-28E2-41BF-8C06-07BF5BBE7290.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/8B3A0E46-74B0-4DCD-B6D0-8290CFB96D61.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/E92CF987-6434-42AE-B688-8D244C4B9250.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/868BED56-A799-4D15-943E-AD3729863B49.jpg)
- portal HTN without cirrhosis
- blood clot in portal vein
Ascites
![](https://photos.thisispiggy.com/file/wikiFiles/68786013-C207-4499-B5A0-D15291248C56.jpg)
SAAG
![](https://photos.thisispiggy.com/file/wikiFiles/6BE30BB8-0B67-4A7C-9552-F27CC11FEC6D.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/B1C87CF3-F8EA-412D-BD31-96D6C47A477E.jpg)
Peritonitis
![](https://photos.thisispiggy.com/file/wikiFiles/C775FDFD-54D2-4183-9AFE-DC2C6527F030.jpg)
Diagnosis
![](https://photos.thisispiggy.com/file/wikiFiles/D4617BD7-6ACD-4C82-BE52-6DC663EE9B84.jpg)
- score includes bilirubin and INR (truly failing liver)
- no AST/ALT: liver damage but not irreversible
![](https://photos.thisispiggy.com/file/wikiFiles/EFB953D8-3371-46A1-B6E8-3CF801A1E69F.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/F7D13B59-018B-4049-A744-FF2E99A86138.jpg)
Treatment
![](https://photos.thisispiggy.com/file/wikiFiles/C7B1F343-65DB-4972-8046-34D147F4E092.jpg)
- ammonia from amino acids and protein
![](https://photos.thisispiggy.com/file/wikiFiles/C2DD97BD-5D04-4960-8F07-0704A570250C.jpg)
![](https://photos.thisispiggy.com/file/wikiFiles/D717992D-C163-4CD1-935B-790AA9299033.jpg)
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