Medical Surgical Nursing

2. Decompensated cirrhosis, S &S result from failure of the liver to synthesize

proteins, clotting factors, and other substances and manifestations of portal

hypertension.

Compensated

 Intermittent mild fever

 Vascular spiders

 Palmar erythema (reddened palms)

 Unexplained epistaxis

 Ankle edema

 Vague morning indigestion

 Flatulent dyspepsia

 Abdominal pain

 Firm, enlarged liver

 Splenomegaly

Clinical Manifestations

 Liver enlargement

 portal obstruction and ascites

 infection and peritonitis

 Gastrointestinal varices

 Edema

 Vitamin deficiency and anemia

 Mental deterioration

Decompensated

 Ascites

 Jaundice

 Weakness

 Muscle wasting

 Weight loss

 Continuous mild fever

 Clubbing of fingers

 Purpura (due to decreased platelet count)

 Spontaneous bruising

 Epistaxis

 Hypotension

 Sparse body hair

 White nails

 Gonadal atrophy