CARDIAC CIRRHOSIS(Cardiac Liver, Congestive Cirrhosis, Pseudocirrhosis,

Stasis Cirrhosis)

Definition & Etiology

Pathology

Symptoms & Physical Diagnosis

Diagnostic Diagnostic DataData

Diagnosis

Treatment

The End

Definition & Etiology

• Normal liver cells are damaged and replaced by scar tissue interferes flow of blood through the liver Handicaps the function of the liver.

• Failure of the liver to perform some of its critically important functions.

• Results from prolonged heart disease In right sided heart failure

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Pathology

Right sided heart failure

Vena Cava Inf. Pressure

Dilatation Hepatic sinusoid + Engorged with blood

Tensely swollen

Necrosis of centrilobular hepatocytes

FIBROSIS

Prolonged passive congestive Ischemia

Celluler Level

Impedes efficient drainage of sinusoid

Sinusoid statis

Accumulation CO2

Parenchymal atrophy

Necrosis

Collagen deposition

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Symptoms & Physical Diagnosis

• Weakness• Nausea & Vomitting

(Blood)• Jaundice• Dyspnea• Orthopnea• PND• Ronkhi and/or cough

• Eshopageal varices (rare)

• Chronic Encephalopathy• Acites• Peripheral edema• Liver enlarged, firm,

nontender,pain

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AST, ALT, LDH, Alk phos bilirubin, ammonia Prothrombine timeSerum protein levels

Diagnostic DataDiagnostic Data

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Diagnosis

Liver Firm, enlarged

Sign of Chronic liver disease

Cor pulmonale

Valvular heart disease

Pericarditis

Suggest Cardiac Cirrhosis

Confirm By Biopsi

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Treatment

Depend on the diagnosis and therapy of the

underlying CV disorder

Diet Sodium IntakeDiuretic

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