Table of Content

• Question 1 a. Define hepatic cirrhosis (1 Mark) b. Describe three types of cirrhosis or scarring of the liver (6 marks) c. Describe the pathophysiology of hepatic cirrhosis (6 marks) d. Define and list the clinical manifestation of Compensated and Decompensated cirrhosis (7 marks)

• Question 2 Write short notes on the conditions listed below using the following guideline: definition; pathophysiology; causes/predisposing factors; clinical manifestation; medical and nursing management a. Hepatitis a Virus (HAV) (10 marks) b. Esophageal Varices (10 marks)

• a. Define Jaundice (1 mark) b. Describe four types of jaundice (20 marks) c. With the aid of a nursing care plan manage the following nursing diagnosis for a patient with jaundice: i. Impaired skin integrity related to jaundice; ii. Hyperthermia related to exposure to a hot environment; iii. Fluid volume deficit related to inadequate fluid intake, phototherapy and diarrhoea