Liver cirrhosis is the terminal stage of many liver diseases, including chronic hepatitis, alcoholic liver disease, and non-alcoholic fatty liver disease. Other causes of cirrhosis include metabolic diseases associated with excessive accumulation of iron, copper, and other elements, as well as autoimmune diseases (Slivinski, 2020). In addition, long-term use of medications that have a toxic effect on the liver can contribute to the development of the condition. The clinical presentation of cirrhosis can vary from complete absence of symptoms to the appearance of signs of liver failure, when liver function is completely disrupted (Cleveland Clinic, 2020). The most common symptoms are decreased ability to work, weakness and fatigue, as well as itching and yellowing of the skin (Cleveland Clinic, 2020). Diagnosis of cirrhosis of the liver begins with a clinical examination, which involves the collection of complaints and examination. Laboratory examinations include general clinical blood tests that can reveal the presence of anemia, decreased white blood cell count, and low platelet counts.
A renal abscess is a complication of pyelonephritis and is a pseudocapsule-limited intrarenal infectious process. The main cause of renal abscess is the multiplication of microbial flora in the organs of the urinary tract or penetration of pathogens into the kidney with the bloodstream. Symptoms are variable and include pain in the lumbar region, fever, hemodynamic instability, and pronounced intoxication (Baas, 2022). Diagnosis is based on the definition of pathogens in blood and urine cultures, renal CT, and ultrasound examination. Treatment is conservative with massive antibacterial and disintoxication therapy aimed at resolution of purulent focus, or surgical — drainage of abscess, partial nephrectomy. Nonspecific general manifestations including fatigue and weight loss are present in most patients (Baas, 2022). The severity of symptoms does not always reflect the severity of the condition.
References
Baas, W. R. (2022). Renal corticomedullary abscess clinical presentation.Medscape. Web.
Cleveland Clinic. (2020). Cirrhosis of the liver.Web.
Slivinski, N. (2020). Cirrhosis and your liver.WebMD. Web.