i finished med school and studying for the board licensing exam, your explaining is amazing, appreciate your work but one question, how does liver disease lead to hemorrhoids or dark urine?
Thank you very much, appreciate it ). Hemorroids develop due to a Portal Hypertension - that cause formation of systemic shunts. One of this shunts delivers blood to rectum - this cause vasodilation of blood vessels - the more dilated blood vessels - the more they prone to rupture - so one of the complications of cirrhosis - Bleeding hemorrhoids. Dark urine develops primarily due to obstructive jaundice, sometimes in acute hepatitis - the only reason why urine can be dark in liver disease - is due to the increase in conjugated bilirubin ( cause conjugated = water soluable - and only water soluable substances can be excreted through the urine). So in conditions that are accompanied by increase in conjugated bilirubin - urine will be dark.
@@a7mad9999999 I am more into Internal medicine ( due to my working routine). So most probably it will be like sex hormone dysfunction in internal medicine pathology and maybe more like pharm / biochemistry stuff. )
Content is good, but narrator accent is difficult to understand and make it impossible to learn this complex topic. But there is no other alternative video so far. Play it 0.75 speed. On subtitle intermittently.Better.
Thank you very much
you are welcome )
i finished med school and studying for the board licensing exam, your explaining is amazing, appreciate your work but one question, how does liver disease lead to hemorrhoids or dark urine?
Thank you very much, appreciate it ). Hemorroids develop due to a Portal Hypertension - that cause formation of systemic shunts. One of this shunts delivers blood to rectum - this cause vasodilation of blood vessels - the more dilated blood vessels - the more they prone to rupture - so one of the complications of cirrhosis - Bleeding hemorrhoids. Dark urine develops primarily due to obstructive jaundice, sometimes in acute hepatitis - the only reason why urine can be dark in liver disease - is due to the increase in conjugated bilirubin ( cause conjugated = water soluable - and only water soluable substances can be excreted through the urine). So in conditions that are accompanied by increase in conjugated bilirubin - urine will be dark.
@@Foxterrier love your explanation, appreciate your fast response!
i see you don't have a gyno/obs playlist, do you plan on doing some in the future?
@@a7mad9999999 I am more into Internal medicine ( due to my working routine). So most probably it will be like sex hormone dysfunction in internal medicine pathology and maybe more like pharm / biochemistry stuff. )
Thank youuuu this explains a lot ! I was looking about relationship between liver disease and SHBG and found it ! Thanks
Thanks, appreciate it.
Please make a video on Sex hormones binding globulin and its effect on sex hormones
Content is good, but narrator accent is difficult to understand and make it impossible to learn this complex topic. But there is no other alternative video so far. Play it 0.75 speed. On subtitle intermittently.Better.
Fair enough. You can check more recent videos, i think the quality is improving. Anyway appreciate your opinion.
Sir,may i know that liver disease leads to low sexual desire?
Yes, it can