Cirrhosis of the liver is permanent scarring that damages your liver and interferes with its functioning. It can lead to liver failure. Cirrhosis is the result of persistent liver damage over many years. Alcohol and drugs, viruses and metabolic factors are the most common causes.
Your Brisbane Liver Specialist should be able to advise.
Cirrhosis symptoms
Jaundice
Itching
Jaundice
Spider veins
Oedema (swelling) of feet
Ascites - fluid showing in belly
Distended surface veins
Muscle wasting
Red feet
Varicose veins on legs
Feeling tired or weak
Poor apetite'
Muscle Cramps
Nausea and vomiting
Mild pain or discomfort over the liver in the upper right side of the abdomen or belly.
Portal Hypertension - note symptoms of Portal Hypertension can be symptoms of Cirrhosis.
Portal vein velocity < 16 cm/s
Portal vein width > 13 mm
Enlarged Liver - Hepatomegaly
Shrunken Liver - later stages
Enlarged Spleen - Spenomegaly
Surface Nodularity
Regenerative Nodules
Heterogenous/Coarse echotexture
Increased Echogenicity
Morphological changes to Liver
Low Platelets
Low AST
Low ALT
High Bilirubin
High GGT
Low Albumin
Low Total Protein
Low PT score
High INR score
Lesions
Caudate - Right Lobe ratio
Esophageal varices
Portosystemic varices
Collaterals
Recanalisation of the Paraumbilical vein
MSD Manual
https://www.msdmanuals.com/en-au/professional/pages-with-widgets/clinical-calculators?mode=list
This gives many calculators including:
Child Pugh
MELDna for end stage liver disease
Ascites Albumin Gradient
Cirrhosis Probability in Hepatitis C Multicalc
- Lok Index Interoretation
- CDS Interpretation
- GUCI Interpretation
- APRI Interpretation
- FIB 4 index
Put in your stats and the calculators will give you a certain chance of if you have Cirrhosis or not
Imaage atudy - Definition of internal signs of Cirrhosis
Internal signs
Cirrhosis transformation
Normal looking liver
Coarse parenchyma
Echogenicity
Measurement of Fibrosis
Transient - Fibroscan
Shearwave - done with Ultrasound at same time
Your choice of scans. Your Liver Specialist should know . Some never mention it, unfortunately.
Recanalised Paraumbilical vein
Portal vein 16.9 cm/s
Coming soon.
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