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Biliary Cirrhosis

 Syn. Biliary Liver Cirrhosis , Cholangitic cirrhosis

Signs & Symptoms

 Abdominal distention
Ref: Harrison [ 2332]
Increased need for sleep
Ref: Harrison [ 2333]
Afternoon fatigue
Ref: Harrison [ 2333]
Symptoms of temporal lobe seizures
Ref: Harrison [ 2333]

Physical Examination

 Abdominal distention
Ref: Harrison [ 2332]
Afternoon fatigue
Ref: Harrison [ 2333]
Fatigue after activity
Ref: Harrison [ 2333]

Lab / Serology

 Positive ascitic fluid bacterial culture
Ref: Uptodate [ Clinical manifestations of spontaneous bacterial peritonitis]
No or minimal proteinuria
Ref: Uptodate [ Hepatorenal syndrome]
Normal urine sediment
Ref: Uptodate [ Hepatorenal syndrome]

Imagin Study

 Imaging study reveal surface nodularity
Ref: Cecil [ 459]
Imaging study reveal relative enlargement of the left hepatic
Ref: Cecil [ 459]
Imaging study reveal relative enlargement of the left hepatic and caudate lobes
Note: due to right lobe atrophy
Ref: Cecil [ 459]

Complication

 No or minimal proteinuria
Ref: Uptodate [ Hepatorenal syndrome]
Normal urine sediment
Ref: Uptodate [ Hepatorenal syndrome]
Muscular rigidity
Ref: Cecil [ 464]

Risk Factors

 Alcohol
Ref: Epocrates [ https://online.epocrates.com/diseases/27832/Cirrhosis/Risk-Factors] Unknown [ 0]
Intravenous drug use
Ref: Epocrates [ https://online.epocrates.com/diseases/27832/Cirrhosis/Risk-Factors]
Obesity
Ref: Epocrates [ https://online.epocrates.com/diseases/27832/Cirrhosis/Risk-Factors]

Cause

 alcoholic liver disease
Ref: Cecil [ 458]
Caused by alcoholic liver disease
Ref: Cecil [ 458]
hepatitis B
Note: in Asia and in most of Africa
Ref: Cecil [ 458]

Other