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Liver

Introduction

Situated in the right upper quadrant of the abdomen, under the diaphragm and covered by the lower right ribs, the liver is the largest organ of the body. An average, healthy liver of an adult weighs about 1.5 Kg and is reddish-brown in color. It is divided into two main lobes and has about 25% of the cardiac output flowing through it. The liver plays an important role in detoxifying the body and it does this by filtering the blood that comes in from the digestive tract before it sends it back out into the rest of the body. It is also responsible for the production of proteins like albumin and clotting factors. Cholesterol and bilirubin (hemoglobin degradation products) are excreted through bile. It secretes bile acids which help in digestion of fats. The drugs which we are taking are often metabolized in the liver and few are excreted through bile.

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Fatty liver

Also known as hepatic steatosis, fatty liver is a condition in which fat builds up in the liver. It is normal for the liver to have small amounts of fat; but if abnormal and excess accumulation of fat is present, the person is labeled to have a fatty liver.

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Hepatitis

Hepatitis is an inflammatory condition of the liver. Heavy alcohol use, fatty liver (excess fat accumulation in the liver), toxins, drugs, and certain medical conditions like autoimmune diseases can cause hepatitis. However, hepatitis is often caused by a virus. Different viral hepatitis such as hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E are seen in practice.

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Cirrhosis

Cirrhosis is the irreversible scarring (fibrosis) of the liver that leads to the loss of the healthy liver cells. This is caused as a result of excessive consumption of alcohol or liver diseases such as hepatitis. Cirrhosis decreases the function of the liver by shrinking and hardening it and is usually diagnosed at the last stages and is the result of chronic liver disease.

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Liver tumors

Liver Tumors are very common in clinical practice. They may benign (noncancerous) or malignant (cancerous).

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Liver failure

Also called hepatic failure, liver failure is a life-threatening condition in which the liver is unable to perform its functions both synthetic and metabolic. There are two kinds of liver failure, which are acute and chronic.

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Hydatid disease

Caused by Echinococcus granulosus, hydatid disease is a parasitic infestation of tapeworms in the liver. It can affect other organs like lungs and brain. Dogs are the definitive host and harbor worms in the intestine.

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Liver abscess

Accumulation pus in the liver is called liver abscess. An abscess can be caused by a bacterial infection and is called pyogenic liver abscess. Amoebic liver abscess is caused by entamoeba histolytica, a parasite. Rarely tuberculosis and fungal infection can present as liver abscess, especially in patients with lower immunity.

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