Throughout each premed virtual shadowing session, you will actively participate by answering and asking questions about the week’s proposed case. Like an in-person shadowing experience, we strive to stimulate students intellectually and ultimately reaffirm their interest in medicine.
Introduction – Liver Pathology
The liver is important for production of bile, excretion of bilirubin/cholesterol, and metabolism of fats, carbohydrates, and proteins. The liver is also responsible for production of clotting factors responsible for successful fibrin clot formation. Due to the fact that the liver is the site of excretion of drugs, alcohol, and hormones, it can suffer damage in the way of increased fat deposition (steatosis) or scarring (cirrhosis).
A 47 y/o M with a PMH significant for HTN presents to the ED with a three day history of shortness of breath. He describes shortness of breath at rest of which is exacerbated by ambulation. His spouse is present and also states that the patient “has been more yellow than usual” and disoriented. He describes intermittent episodes of N/V, occasionally with blood but denies syncope, CP, or LOC. The patient is a daily drinker of alcohol and consumes approximately 1 six-pack of beer per day for “as long as I can remember.” History is also positive for fatigue, diffuse abdominal pain with bloating, and weakness. No previous similar episodes. The patient takes lisinopril for hypertension but denies other medications.
Take home points