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Alcoholic hepatitis - Coursework Example

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[The [The [The Case study: Alcoholic Hepatitis Sadia is a 20 year old female student. She works in a bar and lives in a residential house with her friends. Her work environment has an influence on her social life and drinking habit…
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Alcoholic hepatitis

Download file to see previous pages... On visiting her medical doctor, she reports the following signs; Weight loss, lowered appetite and altered bowel habit, fatigue and feelings of nausea and slight skin discoloration. She is later diagnosed with Chlamydia and alcoholic hepatitis Alcoholic hepatitis is described by O'Beirne et al. as an inflammation of the liver that result from over indulgence in alcohol drinking after a significantly long period of time. Over indulgence in alcohol has an impact on liver functioning test. This is as a result of steotosis. In this case, hepotocytes show droplets of triglycerides. Sadia is reported to have slight skin decolouration. This is a clinical symptom of jaundice, which is associated with liver failure. Jaundice occurs after long period of alcohol abuse. This means that she has hepatic failure that resulted from increased level of balirubin in extracellular fluid (O'Beirne, 504-507). In England and Wales, Sargen reported that 5,000 people die yearly from chronic liver diseases. The leading cause of liver injury continues to be excessive consumption of alcohol that manifest as alcoholic hepatitis. 65% of those affected by alcoholic hepatitis often die from it. Patients with alcoholic hepatitis have one month mortality rate ranging from 0-50%. ...
Inflammation of the liver is caused by harmful drugs, poisonous bacteria and even protozoa. For the case of Sadia, excess alcohol which is poisonous triggered destruction of the alimentary canal including the mouth, stomach, intestines and the liver. Sadia reported that she drinks around 25 units of alcohol weekly this is above recommended threshold, therefore, it over works her liver. Alcoholic hepatitis majorly targets the liver. She is clearly malnourished because of her uncoordinated eating habit, studies and work. Being a syndrome that relies on severity, manifesting symptoms vary. Sadia is likely to display the following: Anorexia, Sadia is likely to develop fear of eating. Swelling of the abdomen due to fluid accumulation Mental confusion Weight loss Abdominal pain Hepatic failure Fatigue and loss of appetite Sadia should be treated by a gastroenterologist – a specialist in digestive disorder. It’s obvious that Sadia has liver condition but it’s advisable that she should undergo liver biopsy to confirm if she has alcoholic hepatitis with cirrhosis. To treat her worsening renal impairment, O'Beirne recommends that a dose of terlipressin 1 mg, six hourly, would be started. Encephalopathy would be treated with lactulose and phosphate enemas. This management is meant to resolve encephalopathy. (O'Beirne, 504-507) Sadia will then visit the outpatient department for counseling and support. With total abstinence, improvement in liver function would be expected within a period of one year. Patients with alcoholic hepatitis have malnutrition. Until the time of check up, Sadia had high intake of calories resulting from her eating habit and alcohol consumption. Besides drinking, she said that her diet majorly consisted of white pasta and toast. She should be ...Download file to see next pagesRead More
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