Week 5 Edapt Liver Cirrhosis-Alcoholic and Non-Alcoholic
Fatty Liver Disease
Advanced Pathophysiology (Chamberlain University)
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Week 5 Edapt: Liver Cirrhosis-Alcoholic and Non-Alcoholic Fatty Liver Disease
Introduction to Liver Cirrhosis:
Cirrhosis of the liver is a condition characterized by the progressive scarring of liver tissue,
typically resulting from long-term liver inflammation and injury. This scarring can lead to
impaired liver function and potentially serious complications. Chronic liver diseases such as
hepatitis C, hepatitis B, and long-term alcohol abuse are common causes of cirrhosis.
o The liver is involved in the metabolism of carbohydrates, proteins, and fats;
detoxification of harmful substances; storage of vitamins, minerals, and glycogen;
production of bile for digestion; and filtration of blood.
o Insulin is produced by the pancreas. Bile is stored in the gallbladder.
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o Liver damage often begins with injury to hepatocytes, the liver cells responsible for
various metabolic functions. This injury triggers an inflammatory response, leading to
the accumulation of immune cells and cytokines in the liver. Chronic inflammation can
then stimulate the activation of hepatic stellate cells, which are responsible for
producing collagen and other extracellular matrix proteins, leading to the development
of fibrosis. If the underlying cause of liver damage persists, fibrosis can progress to
cirrhosis, characterized by extensive scarring and disruption of liver architecture.
o Enlargement of the liver is common in chronic liver disease, including cirrhosis, and may
be palpable on physical examination. Accumulation of fluid in the abdominal cavity is a
common complication of liver cirrhosis and can be assessed through physical
examination and imaging studies. Enlargement of breast tissue in males can occur due to
hormonal imbalances associated with liver dysfunction. Gastrointestinal bleeding,
particularly from esophageal varices, is a serious complication of liver cirrhosis and can
manifest as bloody or tarry stools (melena).
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