72 years old Difficult for her to manage Husband of 40 years died last year from pancreatic cancer Drinking alcohol in excess Lost the support of her children due to her alcoholism Her hair has become thin. Swelling in her abdomen and both lower extremities with purpura noted. Experiences tenderness in her RUQ and yellowing is noted of her skin and sclera. She goes to see her PCP. Recent vital signs include BP 210/98, HR 56 irregular, RR 16, and temp 99.7. Consider the pathophysiologic disorders related to the GI system.

Identify concepts which may explain your client's current or potential condition and explain why your findings are important.



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