A 75-year-old man with congestive heart failure com-plains of increasing shortness of breath. On physicalexamination, the patient has an enlarged and tenderliver and swollen legs. Increased venous pressure due toright-sided heart failure primarily affects which of thefollowing regions of this patients liver?

PANCREAS

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A 75-year-old man with congestive heart failure com-plains of increasing shortness of breath. On physicalexamination, the patient has an enlarged and tenderliver and swollen legs. Increased venous pressure due toright-sided heart failure primarily affects which of thefollowing regions of this patient’s liver?

A	Centrilobular hepatocytes
B	Periportal hepatocytes
C	Intrahepatic bile ducts
D	Extrahepatic bile ducts
E	Portal vein

Explanation:

Detailed explanation-1: -If the chamber can’t pump well, blood backs up in the blood vessels that carry oxygenated blood from the lungs to the heart. This backup leads to fluid accumulation in the lungs, which causes shortness of breath.

Detailed explanation-2: -Early signs of heart failure in the elderly are similar to those found in other age groups, which include worsening or shortness of breath, fatigue, bloating, lack of appetite, persistent cough, lack of appetite and nausea. Other symptoms may include a mental decline or depression.

Detailed explanation-3: -Signs that represent right sided heart failure include an elevated JVP, pedal edema, ascites, hepatomegaly, a parasternal heave and hepatojugular reflux. Common signs of both left and right sided heart failure are present.

There is 1 question to complete.

THORAX ABDOMEN AND PELVIS

MEDICAL

PANCREAS