Who? (Who gets it?)(population) : alcoholics, women are at greater risk
What? (What is it?)(Pathophysiology) : It is the replacement of liver tissue with scar tissue around the portal areas
When? (frequency, when, related to?)(presentations, SS): between the ages of 40-60, insidious onset and protractive course occurring over 30 years, presents with abdominal pain due to the recent rapid enlargement of the liver, the liver will then decrease in size because of the scar tissue, portal obstructions and ascites are late manifestions, indigestion, jaundice, peripheral edema due to overproduction of aldosterone, mental deterioration, vitamin deficiency and anemia, bacterial peritonitis and risk of infection, GI varices
Where? (systems affected) (organs involved): organs affected are the skin, spleen, GI tract, and liver
Why? (why does this occur) (risk factors): alcohol abuse because it causes necrosis of the liver cells