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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
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Pleural Effusion II: Symptoms and Management01:28

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Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
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Factors Affecting Illness01:18

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When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
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Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
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Esophageal Varices-I: Introduction01:24

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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肝硬化脆弱患者的高住院率和危险因素:一项为期10年的基于人口的队列研究.

Bima J Hasjim1, Mohsen Mohammadi2, Salva N Balbale3

  • 1Northwestern University Transplant Outcomes Research Collaborative (NUTORC), Comprehensive Transplant Center (CTC), Northwestern University, Chicago, Illinois.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
|October 19, 2024
PubMed
概括
此摘要是机器生成的。

肝硬化和虚弱患者的住院率显著增加. 在肝硬化护理中,常规的脆弱性查对于减少住院治疗至关重要.

关键词:
肝硬化是肝硬化的一种.脆弱性 脆弱性 脆弱性住院治疗 住院治疗

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科学领域:

  • 肝病学和胃肠病学 肝病学和胃肠学
  • 老年病的医生 老年病的医生
  • 公共卫生 公共卫生

背景情况:

  • 近年来,与肝硬化相关的住院病例显著增加.
  • 了解脆弱肝硬化患者住院风险因素至关重要.

研究的目的:

  • 评估当代住院率,并确定肝硬化的脆弱患者中的风险因素.
  • 为了分析美国大都市地区十年的住院数据.

主要方法:

  • 使用芝加哥地区以患者为中心的结果研究网络 (CAPriCORN) 数据库的回顾性纵向队列研究 (2011-2021年).
  • 使用医院脆弱性风险评分评估的脆弱性.
  • 多变量后勤回归确定了每年住院概率的预测因素.

主要成果:

  • 在36,971名患者中,有44%被住院治疗;去补偿性肝硬化患者的发病率最高 (77.3/100名患者/年).
  • 补偿性肝硬化患者中等和严重的虚弱分别有3x和5x更高的每年住院的几率,相比低虚弱患者.

结论:

  • 从中等到严重的虚弱性在补偿和不补偿肝硬化患者中大幅增加了每年住院的几率.
  • 建议采取有针对性的干预措施和例行脆弱性查,以减少肝硬化护理中的住院率.