check this out typo
1-6.3 Alcoholic Cirrhosis
Established cirrhosis is usually a disease of middle age after the patient has had many years of drinking. Although there may be a history of alcoholic hepatitis, cirrhosis can develop in apparently well-nourished, asymptomatic patients. Occasionally the patient may present with end-stage liver disease with malnutrition, ascites, encephalopathy and a bleeding tendency. A history of alcohol abuse usually points to the etiology. Clinically, the patient is wasted. There may be bilateral parotid enlargement and Dupuytren's contracture in alcohol abuse. The patient may have palmar erythema and multiple spider nevi of chronic liver disease. Males develop gynecomastia and small testes.
2-Alcoholic hepatitis includes the macrovesicular fatty change plus a diffuse inflammatory response to injury and necrosis (often focal); established cirrhosis may also be present.
Mallory (alcoholic hyaline) bodies are fibrillar proteins of intracytoplasmic inclusions within swollen hepatocytes; these cells contain little or no fat. With hematoxylin and eosin stain, Mallory bodies appear as irregular aggregates of purplish red material. Although characteristic of alcoholic hepatitis, Mallory bodies are also found in some cases of Wilson's disease, Indian childhood cirrhosis, cirrhosis following small-bowel bypass surgery, primary biliary cirrhosis (or other causes of prolonged cholestasis), diabetes mellitus, morbid obesity, and hepatocellular carcinoma.
i dont know what to say
here is an other one
lowest po2 is found
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-expired air
-venous blood
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what u think about that????
