NEW PHOTOS & INFO

A: This patient has acute alcoholic hepatitis on top of previously established cirrhosis. The hepatectomy stage of the LT is much more challenging in this patient.

B: This patient has acute alcoholic hepatitis without any previous evidence of cirrhosis, with the liver revealing some edema, but no cirrhosis.

Liver Disease/Liver Failure Early WARNING Signs & Prognosis

Liver Failure Early WARNING Signs & Prognosis

IF YOU EXPERIENCE ANY OF THE FOLLOWING PLEASE SEE YOUR G.P OR LOCAL HOSPITAL AS RELEVANT

  • Sudden onset of water retention in the abdomen (ascites) and legs/ankles (oedema), the sudden accumulation of water retention signals that the liver is significantly damaged. Diuretics (Spirolactone 100mg x2 daily & Furosemide 40mg once daily) are normally given for treatment of water retention. Frequent blood tests are crucial whilst undergoing treatment with diurectics, as kidney function may steadily decline, resulting in Hepatorenal Syndrome. Spontaneous Bacterial Peritonitis (infected ascites fluid) will be discussed later.




Asitic Tap Procedure




A, Ruptured Oesophageal varices. Gross photograph of an Oesophagus with ruptured and thrombosed variceal blood vessels resulting from portal hypertension in hepatic cirrhosis.
B, Candidal esophagitis. Gross photograph of an esophagus from an immunosuppressed patient with severe candidal esophagitis. Exudate is adherent to the surface, and there is focal ulceration of the squamous mucosa. The gastroesophageal junction is visible near the bottom.