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AUTOIMMUNE CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION § DECOMPENSATION
by Angshu, Feb 18, 2002 12:00AM
Diagnosis :
AUTOIMMUNE CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION & DECOMPENSATION
OBESITY
HAS ACTIVE URINARY SEDIMENT
INTERMITTENT DIARRHOEA ? CAUSE
Investigations Done :
Gastroscopy : Oesophageal varices
U/S Abdomen : Coarse liver,mildly irregular border,candate lobe hypertrophy
Impression : Features suggestive of Cirrhosis of liver with portal hypertension
Rigid Sigmoidoscopy : Prominent rectal veins;otherwise normal.
Chest X-Ray : Mild Cardiomelagy
Recommendation :
1.Restrict salt intake to 2-4 gms perday
2.Tab. Aldactone 50 mg AM once daily
Tab. Lasix 20mg once daily
Tab. Inderal 20 mg twice daily
3. To Recheck Serum Sodium/Potassium/Creatinine after 1 week and decide on adjusting dose of diuretics accordingly
4.Hepatitis B Vaccination- 3 doses at 0,1 & 6 months
After this the doctors have suggested banding for the Oesophageal varices.....and steroids for CLD
Q1.What is the natural course of this disease if left alone by itself...she is 49yrs old and had swelling in her feet for sometime now
Q2.how risky are the 2 ways of treatment...bandin & Steroids
Q3.will she be cured completely after thses 2 options are put into place
Q4.What stage of Cirrhosis cud she be in seeing the above report
AUTOIMMUNE CIRRHOSIS OF LIVER WITH PORTAL HYPERTENSION & DECOMPENSATION
OBESITY
HAS ACTIVE URINARY SEDIMENT
INTERMITTENT DIARRHOEA ? CAUSE
Investigations Done :
Gastroscopy : Oesophageal varices
U/S Abdomen : Coarse liver,mildly irregular border,candate lobe hypertrophy
Impression : Features suggestive of Cirrhosis of liver with portal hypertension
Rigid Sigmoidoscopy : Prominent rectal veins;otherwise normal.
Chest X-Ray : Mild Cardiomelagy
Recommendation :
1.Restrict salt intake to 2-4 gms perday
2.Tab. Aldactone 50 mg AM once daily
Tab. Lasix 20mg once daily
Tab. Inderal 20 mg twice daily
3. To Recheck Serum Sodium/Potassium/Creatinine after 1 week and decide on adjusting dose of diuretics accordingly
4.Hepatitis B Vaccination- 3 doses at 0,1 & 6 months
After this the doctors have suggested banding for the Oesophageal varices.....and steroids for CLD
Q1.What is the natural course of this disease if left alone by itself...she is 49yrs old and had swelling in her feet for sometime now
Q2.how risky are the 2 ways of treatment...bandin & Steroids
Q3.will she be cured completely after thses 2 options are put into place
Q4.What stage of Cirrhosis cud she be in seeing the above report
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