Mn551 unit 7: Complains of abdominal pain.
Robert is a 68-year-old who has dealt with alcoholism for over 30
years. He has cirrhosis and is anemic. His appetite has declined,
and he regularly complains of abdominal pain. Recently, while
preparing himself a sandwich, he cut his finger deeply with a knife.
The wound bled profusely, and he used a kitchen towel to stop
the flow. Refusing to go and seek medical assistance, he put ice
on his finger and wrapped the towel around it. He sat down in his
recliner with his hand over his head and fell asleep.
Anemia and clotting disorders are common features of alcoholic
liver disease. What are the mechanisms that cause these
hematologic disorders?
What gastrointestinal bleed is associated with a high mortality
rate in those with advanced cirrhosis? What is the
pathophysiology of this condition?
Acute pancreatitis is sometimes seen in alcoholics, particularly
after binge drinking. Why are tachycardia and hypotension
indications of this condition?
Why are women more predisposed to alcoholic liver disease than
men?

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