Liver Cirrhosis
Liver Cirrhosis ( 25 Questions)
In liver cirrhosis, portal hypertension occurs due to increased pressure in the portal vein, which carries blood from the intestines to the liver. The increased pressure leads to the development of portosystemic collaterals (collateral circulation) to divert blood flow. This can cause hypersplenism, a condition where the spleen becomes enlarged and traps platelets, leading to a decreased platelet count (thrombocytopenia).
Ascites is the accumulation of fluid in the abdominal cavity and is not directly related to a decreased platelet count.
Hepatocellular carcinoma is a type of liver cancer and can be a complication of liver cirrhosis. However, it is not the likely cause of the client's decreased platelet count.
Splenomegaly (enlargement of the spleen) can occur in liver cirrhosis due to portal hypertension. However, splenomegaly itself is not the cause of the decreased platelet count; it is the hypersplenism resulting from the splenomegaly that causes thrombocytopenia.
A) In liver cirrhosis, portal hypertension occurs due to increased pressure in the portal vein, which carries blood from the intestines to the liver. The increased pressure leads to the development of portosystemic collaterals (collateral circulation) to divert blood flow. This can cause hypersplenism, a condition where the spleen becomes enlarged and traps platelets, leading to a decreased platelet count (thrombocytopenia).
B) Ascites is the accumulation of fluid in the abdominal cavity and is not directly related to a decreased platelet count.
C) Hepatocellular carcinoma is a type of liver cancer and can be a complication of liver cirrhosis. However, it is not the likely cause of the client's decreased platelet count.
D) Splenomegaly (enlargement of the spleen) can occur in liver cirrhosis due to portal hypertension. However, splenomegaly itself is not the cause of the decreased platelet count; it is the hypersplenism resulting from the splenomegaly that causes thrombocytopenia.