Biweekly internal assessment
case I: 1) What is the reason for this patient's ascites? Ans: excessive chronic alcohol use can cause chronic liver disease, alcholic fatty liver, alcoholic hepatitis, alcoholic cirrhosis.. In absence of inflammation Or necrosis alcohol use can produce Fibrosis.. The clinical manifestations of cirrhosis include ascites, pedal edema, pain, fever, nausea, development of jaundice( scleral icterus) , upper gi hemorrhage.. In cirrhosis increase in portal hypertension causes sphlancnic vasodilation results in increase portal venous flow... Both these cause increased production of splanchnic lymph.. These hemodynamic changes result in sodium retention by causing activation of RAAS pathway with increase in aldosterone.. Sodium retention causes fluid accumulation and expansion of ecf results in edema and ascites.. 2) Why did the patient develop bipedal lymphedema? What was the reason for the recurrent blebs and ulcerations and cellulitis in his lower limbs? ...