A 43 year old male with Jaundice

Abstract

Malnutrition and liver cirrhosis go hand in hand due to poor metabolic and detoxifying capacity of liver. Due to impaired liver function, patient is anorexic, portal hypertensive, altered mental state, nausea, jaundice, ascitis. These symptoms associated with liver diseases are enough to lead to malnutrition by poor food intake, maldigestion, malabsorption and impaired detoxification process. Present case was a 43 year old male suffering diagnosed with D-CLD with jaundice, ascitis, hepatic encephalopathy with comorbidities of type 2 diabetes and hypothyroidism. He was grossly investigated for extent of liver function in terms of Child Turcotte Pugh and MELDna scores. Accordingly his medications were started. Simultaneously, the patient was assessed for his nutritional status, in which he was found moderately malnourished as evidenced by SGA rating B. Patient was motivated to improve food intake and given a lot of varieties in diet. Consequently his condition was improved drastically although permanent treatment was liver transplant for which workup has been started.