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Exam questionKROK 2Medicine ยท 2007

A patient with hepatic cirrhosis drank some spirits that resulted in headache, vomiting, aversion to food, insomnia, jaundice, fetor hepaticus, abdominal swelling. What complication of hepatic cirrhosis is meant?

Answer options

  1. Acute stomach ulcer
  2. Thrombosis of mesenteric vessels
  3. Hepatocellular insufficiency
  4. Portal hypertension
  5. Hemorrhage from varicosely dilatated veins of esophagus
Correct answer

Hepatocellular insufficiency

Explanation

A patient with hepatic cirrhosis drank some spirits that resulted in headache, vomiting, aversion to food, insomnia, jaundice, fetor hepaticus, abdominal swelling. What complication of hepatic cirrhosis is meant?Hepatic insufficiency is the inability of the liver to perform its normal synthetic and metabolic function as part of normal physiology. Fetor hepaticus also known as breath of the dead or hepatic foetor, is a condition seen in portal hypertension where portosystemic shunting allows thiols (sulfur-containing analogue of alcohols) to pass directly into the lungs. In this patient have headache, insomnia due to accumulation of nitrogenous compound.

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