Thursday, April 16, 2015

Liver

A patient came in with known history of liver cancer. He came in with itchy skin and it was clear the patient of suffering from jaundice. He had yellow eyes and yellowish dark skin. Even though he has a dark tanned complex it was still obvious that he had yellow skin. Yellow eye (sclera)

He was also having a fever, loss of appetite, and indigestion plus abdominal bloating and mild chills. Doc thought that he might have growing existing hepatoma blocking the bile duct causing obstructive jaundice associated with fever consistent with acute bile duct infection(acute colongititis) Or bile duct stone. He was sent to ER and admitted to regular medical care. They confirmed acute colongitis from growing hepatoma. He underwent immediate ERCP(define) endoscopic Sphrinctroctomy.


The surgery relieved the obstruction but he suffered arterial injury complications. He had to take 4 units of transfusion.

I just found it really interesting how the symptoms were so pronounced in his skin color and general condition.  One look and it was clear the patient was seriously ill.

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