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This Concept Map, created with IHMC CmapTools, has information related to: GeorgiaSonoma3-5, Alcoholic cardiomyopathy see previous case, Hepatic encephalopathy treat with Lactulose, protein synthesis including lipoproteins, cirrhosis of the liver impedes biliary flow, Total protein/albumin causes ascites, Total bilirubin causes jaundice, Georgia Sonoma 46 year old, Caucasian female presents with ascites, Georgia Sonoma 46 year old, Caucasian female history of Alcoholic cardiomyopathy, Georgia Sonoma 46 year old, Caucasian female presents with jaundice, cytosol yields Free fatty acids, Hepatic fibrosis leads to nodular regeneration of hepatocyes, colonic bacteria reducing ammonia levels, biliary flow leads to build up of Unconjugated bilirubin, Georgia Sonoma 46 year old, Caucasian female presents with esophageal varices, conjugate Bilirubin leads to build up of Unconjugated bilirubin, ROS become oxidized FFA, acetyl CoA reacts with OAA, Cytochrome p450 2E1 interferes with coagulation, acetyl CoA activates pyruvate carboxylase, citrate enters cytosol