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Assignment:
Robert is a 58-year-old who has dealt with alcoholism for over 30 years. He was lately diagnosed with cirrhosis. Although he drinks, he does not smoke; however, he does not pay close attention to his diet although he is anemic. His meals consisted mainly of the foods he got from either fast-food restaurants or heating up frozen dinners or any prepackaged food that required minimal preparation time. His appetite has declined, and he regularly complains of abdominal pain. He lost a considerable amount of weight and became weak as a result he visited his doctor. The examination revealed he had pancreatitis secondary to his alcoholism. When he was 10 years old, Robert was diagnosed with celiac disease. Recently, while preparing himself a sandwich, he cut his finger deeply with a knife. The wound bled profusely, and he used a kitchen towel to stop the flow. Refusing to go and seek medical assistance, he put ice on his finger and wrapped the towel around it.
1. What anatomical blood supply features of the Gastro-intestinal system lend it to the complications that are anticipated with liver failure? Draw a picture of the blood supply of the gastrointestinal / hepatic / spleen / pancreas and gall bladder.
2. Review Robert's diet. What factors in his dietary choices might aggravate his issues? What is an ideal diet for this patient? Be specific, yet robust.
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