liver cirrhosis
bibek | Jan 19, 2010 | 2 comments
A 65 years old man came to out patient department complaining of abdominal distension and pain at right hypochondriac region . On examination spleen was palpable 2 cm below the left costal margin , skin was flushed , tachycardia and low blood pressure (90/60). After further examination he was diagnosed as liver cirrhosis but the cause was not found.
In this patient what is the cause behind tachycardia and low blood pressure?
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Generally liver cirrhosis is associated with hyperdynamic circulation and peripheral vasodilatation ,So there is Na+ H2o retention. Due to the consequent activation of the sympathetic nervous, renin-angiotensin-aldosterone and vasopressin systems.
so there is tachycardia and low blood pressure..
Rt Hypochondriac pain as mentioned there refers to Congested Liver likely secondary to heart failure as a result of the heart unable to maintain tissue oxygenation due to persistent third spacing of the intravascular volume.So probably heart failure expalins hypotension and tachycardia..