Cirrhosis
Cirrhosis is a topic covered in the Washington Manual of Medical Therapeutics.
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- Cirrhosis is a chronic condition characterized by diffuse replacement of liver cells by fibrotic tissue, which creates a nodular-appearing distortion of the normal liver architecture. Advanced fibrosis represents the end result of many etiologies of liver injury.
- Cirrhosis affects nearly 5.5 million Americans. In 2009, it was the 12th leading cause of death in the United States.1
- The most common etiologies are alcohol-related liver disease, chronic viral infection, and NAFLD (diagnosis and treatment discussed earlier in respective sections).
- Main complications of cirrhosis include portal hypertension with various clinical manifestations (ascites, esophageal and gastric varices, portal hypertensive gastropathy and colopathy, hypersplenism, gastric antral vascular ectasia, spontaneous bacterial peritonitis [SBP], hepatorenal syndrome [HRS], hepatic encephalopathy, and HCC). Frequent laboratory abnormalities encountered in a patient with cirrhosis include anemia, leukopenia, thrombocytopenia, hypoalbuminemia, coagulopathy, and hyperbilirubinemia.
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Citation
Williams, Dominique, et al., editors. "Cirrhosis." Washington Manual of Medical Therapeutics, 35th ed., Wolters Kluwer Health, 2016. Washington Manual, www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602360/0/Cirrhosis.
Cirrhosis. In: Williams D, Ramgopal R, Gdowski M, et al, eds. Washington Manual of Medical Therapeutics. 35th ed. Wolters Kluwer Health; 2016. https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602360/0/Cirrhosis. Accessed December 15, 2019.
Cirrhosis. (2016). In Williams, D., Ramgopal, R., Gdowski, M., Dretler, A., & Bhat, P. (Eds.), Washington Manual of Medical Therapeutics. Available from https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602360/0/Cirrhosis
Cirrhosis [Internet]. In: Williams D, Ramgopal R, Gdowski M, Dretler A, Bhat P, editors. Washington Manual of Medical Therapeutics. Wolters Kluwer Health; 2016. [cited 2019 December 15]. Available from: https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602360/0/Cirrhosis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Cirrhosis
ID - 602360
ED - Williams,Dominique,
ED - Ramgopal,Rajeev,
ED - Gdowski,Mark,
ED - Dretler,Alexandra,
ED - Bhat,Pavat,
BT - Washington Manual of Medical Therapeutics
UR - https://www.unboundmedicine.com/washingtonmanual/view/Washington-Manual-of-Medical-Therapeutics/602360/0/Cirrhosis
PB - Wolters Kluwer Health
ET - 35
DB - Washington Manual
DP - Unbound Medicine
ER -