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Thursday, October 18, 2017
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First United Methodist Church - Midlothian

800 South 9th Street

Midlothian, Texas 76065

 
  

 
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 Image goes here.Symptoms can be mild and non-specific such as a loss of appetite, fatigue, general malaise, nausea and vomiting or weight loss. Such symptoms may therefore easily be overlooked in a patient with early stage disease. As liver disease progresses, however, some key clinical features that may manifest include:Pain and discomfort may be felt in the upper right side of the abdomen where the liver is located. Pain may be caused by the liver growing in size due to the accumulation of fat, acute inflammation or any injury that can expand and stretch the sensitive membrane covering the liver. Liver disease can disrupt blood flow in the liver or cause tumors benign or malignant to develop, which adds to the mass of the liver. Some of the most common causes of hepatomegaly are metastatic cancer, hepatomegaly, fatty liver disease and cirrhosis. Jaundice is indicated by a yellowing of the skin, whites of the eyes and nails. This is caused by the damaged liver failing to adequately process bilirubin, the waste product that occurs when old red blood cells are broken down. An excess of bilirubin accumulates in the blood and deposits in the skin, which causes the yellowish discoloration. In the early stages of cirrhosis, symptoms can again be non-specific and mild. Patients may therefore overlook symptoms and attribute them to other conditions. The term cirrhosis refers to the formation of scar tissue fibrosis in place of liver cells that have died as a result of long-term liver damage. This may have occurred due to excess alcohol intake, viral hepatitis or other factors that lead to toxicity of the liver. Liver fibrosis is characterized by the presence of irregular tumors or nodules that form across what was originally smooth liver tissue. As cirrhosis develops gradually and often without any obvious symptoms, the condition may go unnoticed until the damage is severe and likely to lead to liver failure. Also called pruritis, this may be caused by a chemical in the bile that can accumulates in the bloodstream jaundice. Although pruritis is a common symptom, it is not always present.
When this symptom does occur, it can be distressing and even debilitating, causing on intense itch across the entire skin surface. Liver damage can prevent production of the proteins required for blood clotting, which can lead to an increased tendency to bruise or bleed. A damaged liver may fail to regulate the production and breakdown of hormones. In males, this can lead to enlarged breasts gynecomastia and shrunken testicles, while women may find their menstrual cycle is affected. Spider angiomas are small, spider-like capillaries that are visible just underneath the surface of the skin. Research has implicated certain substances as causative of hepatic encephalopathy and these include ammonia, free fatty acids, mercaptans and false neurotransmitters. This complication of cirrhosis can lead to symptoms such as confusion, loss of short-term memory and even loss of consciousness. When cirrhosis has led to severe scarring of the liver, blood is prevented from flowing through the organ easily. This causes pressure to build up in the vein that supplies the liver with blood. This is called the portal vein and the increased pressure is referred to as portal hypertension. As the pressure increases, blood begins to travel along alternative veins present in the esophagus and stomach. These veins are called varices and their walls are fragile and prone to rupture. Hemorrhage of these veins causes internal bleeding and this is often first noticed as hematemesis the vomiting of blood or melena the passing of black and tarry stools. The rupturing of varices is a serious and life threatening complication of cirrhosis that requires urgent medical attention. Cancel reply to comment This site complies with the HONcode standard for trustworthy health information: verify here. Net provides this medical information service in accordance with these terms and conditions.
joinHealth Library, Medical Symptoms You Should Never Ignore Medical Symptoms You Should Never Ignore At times, it can be difficult to know whether your symptoms are a medical emergency or not. Paul Green's Word Memory Test and other SVT's Main menu Skip to primary content Skip to secondary content Home Background Comments References Other Publications Selected Online Papers Products Manuals and Texts Installation Languages News Order Info Support Contact Us FAQ Medical Symptom Validity Test The MSVT for Windows was first displayed in public at the NAN meeting, Tampa, Fl. The MSVT consists of a 94-page test manual and a CD with MSVT Windows program for patient testing, scoring and reporting of results. More than just a short form of the WMT, the MSVT is extremely cost effective and fast as a verbal memory screen with built-in effort measures. Whereas the WMT has 20 word pairs, the MSVT has 10 pairs, cutting the test in half. The WMT has 6 subtests and a 30 minute delay between IR and DR subtests but the MSVT contains only 4 subtests and a 10 minute delay.
Both men and women withBE reported higher rates of psychiatric treatment. Discussion: Our results indicate that there is substantialcomorbidity between BE and psychiatric symptoms inde-TED, CYNTHIAM. Medical symp-toms co-occur less frequently than previously reported fromtreatment-seeking populations in women. Across all do-mains, the array of symptoms exhibited by men with BEwas broader than that observed in women with BE. Thisobservation suggests the importance of considering genderdifferences in future studies of psychiatric and medicalmorbidity, binge eating, and obesity. Key words: binge eating, BMI, anxiety, depression, mus-culoskeletal painIntroductionBinge eating disorder BED 1is currently listed in theappendix of the DSM-IV as a disorder requiring furtherstudy. The process of providing scientific validation for anew diagnostic category is complex and includes the eval-uation of concurrent symptoms 1 , an approach that hasbeen undertaken with regard to BED. Obese individuals with binge eating have a higher life-time prevalence of mood, anxiety, alcohol use, and person-ality disorders than obese individuals without binge eating 2—5. Individuals with BED report elevated prevalences oflifetime mood disorder, anxiety disorders, substance usedisorders, insomnia, and psychosocial distress 6,7. BED has been shown to be common in patients with type2 diabetes 8. BED in women seeking treatment for med-ical problems has been found to be associated with higherrates of diabetes, somatic symptoms such as limb or jointpain, headache, gastrointestinal problems, menstrual prob-lems, and disability, even when controlling for the presenceof comorbid psychiatric disorders 7. Obese women withbinge eating have reported higher rates of major medicalReceived for review February 4, 2004. Accepted in final form June 28, 2004. The costs of publication of this article were defrayed, in part, by the payment of pagecharges. Section 1734 solely to indicate this fact. Address correspondence to Ted Reichborn-Kjennerud, Division of Epidemiology, TheNorwegian Institute of Public Health, P. Box 4404 Nydalen, N-0403 Oslo, Norway. These studies lend support to the notion that BED carrieswith it substantial risk for psychiatric and medical symp-toms and disorders. However, the literature has three im-portant limitations. First, the associations have been identi-fied primarily in clinical samples i. Therefore, the results may be influencedby sampling bias and, thus, not representative of personswith the disorder in the general population. It has beenshown that people with more than one problem are morelikely to seek treatment, resulting in an overestimation ofcomorbidity in clinical samples 9,10. Second, given thatBED is commonly associated with obesity, it is critical toestimate the impact of BED independently of BMI. Third,the literature has focused almost entirely on women.
Our finding of higher fre-quency of eating disorder symptoms in individuals with BEis in accordance with the results from previous studies inboth clinical and community samples 18. The comorbidity with medical symptoms in women withBE was lower than previously reported, for example byJohnson et al. For reasons mentioned above 9 , onecan assume that the results from that study are biasedbecause of the way the BED patients were selected. Fur-thermore, the participants in that study were older than inour study. Our results are, however, in accordance withthose reported from a population-based study of obesewomen with binge eating, in which neither the individualmedical conditions examined, nor impairment due to phys-ical health, were significantly elevated 5. This suggeststhat binge eating in the absence of compensatory behaviorsmay be less associated with medical problems in popula-tion-based studies than in treatment-seeking populations, atleast for young-adult women. The rates of psychiatric and behavioral symptoms wereincreased in both men and women with BE, although theassociations were somewhat stronger in men. The results arein accordance with a previous study that found similarpatterns of psychiatric comorbidity in men and women witheating disorders 20. Men showed broader elevations inareas beyond depression and anxiety including smoking,alcohol use, use of sleep and pain medications, and impair-ment. Both men and women with BE reported higher psy-chiatric treatment use than those without BE. The relative frequencies of medical symptoms were sub-stantially higher in men with BE than in women with BE. The literature suggests thatwomen display greater pain sensitivity than men 22.


 
 

 

 
 
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