What are the typical findings expected in a client with cirrhosis of the liver?

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In a client with cirrhosis of the liver, one of the hallmark findings is an increase in liver enzymes such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST). These enzymes are released into the bloodstream when liver cells are damaged, which is common in cirrhosis due to the progressive scarring of the liver tissue. Conditions that cause liver damage, including cirrhosis, often result in elevated levels of these enzymes, making this a significant clinical finding.

While high serum albumin levels indicate good liver function and nutritional status, cirrhosis typically leads to decreased albumin production due to liver dysfunction, resulting in lower serum albumin levels instead. Additionally, as cirrhosis progresses, the liver's capacity to produce various blood components, including platelets, diminishes due to portal hypertension and splenomegaly, which explains the commonly observed low platelet count in patients with cirrhosis.

Therefore, recognizing these patterns is crucial in assessing the extent of liver damage and managing a patient diagnosed with cirrhosis.

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