Bimonthly test oct 7
Bimonthly test Q1) 57 year old man with jaundice, pedal edema and abdominal distension since three years and bleeding gums since three days" Chronic liver disease causing hypoalbuminemia and or portal hypertension leading to ascitis. Cirrhotic ascitic fluid accumulation results from a number of factors broadly defined in terms of hormonal and cytokine dysregulation and related volume overload in the setting of portal hypertension[ 1 ]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664283/ A. Bipedal edema may be due to hypoalbuminemia leading to decreased albumin in turn decreases plasma oncotic pressure causing lymphedema. B. Cellulitis in liver cirrhosis is caused by numerous factors. Increased bacterial translocation from the gut due to altered intestinal immunity and bacterial overgrowth in cirrhotics produces Gram-negative bacteraemia, giving an opportunity for distant invasion by these microorganisms [ 3 ]. This is substantiated by the culture reports in these patients [