Hepatocellular Carcinoma Or Liver Cancer: Causes, Clinal Features, Diagnosis and Management
• Hepatocellular carcinoma (HCC) is a primary malignancy of the hepatocyte, generally leading to death within 6-20 months.
• Hepatocellular carcinoma frequently arises in the setting of cirrhosis, appearing 20-30 years following the initial insult to the liver.
• 25% of patients have no history or risk factors for the development …

Liver Blood supply:—
The liver derives blood from the hepatic artery (20%)  and the portal vein (80%).
The hepatic artery usually arises from the aorta at the coeliac axis and divides into the right and left branches at the hilus.
— —The venous drainage from the liver is by three large hepatic veins  right, middle and left  into the inferior vena cava (IVC), …

SHOCK
DEFINITION:-
Shock is an acute clinical syndrome characterized by poor tissue perfusion with impaired cellular metabolism, which is manifested as different serious pathophysiological abnormalities.

CLASSIFICATION OF SHOCK
Hypovolaemia
Cardiogenic
Intrinsic
Compressive
Septic
Hyperdynamic
Hypodynamic
Anaphylactic
Traumatic
Neurogenic
Hypoadrenal
CAUSES OF SHOCK

Hypovolaemia shock:- due to reduction in total Blood volume.
Loss of blood:- hemorrhagic shock, RTA, major surgeries.
Loss of plasma:- burn shock, pancreatitis.
Loss of fluid:- diarrhea, vomiting , …