I'm in my third year of nursing school. I've learnt this over and over many times, and not once has all the side effects fit together so well and really made great sense. I'm sure these videos take a good portion of your time. Thank you very much, they are extremely useful.

This was amazing you covered in 20mins literally everything my lecturer taught with a ppt of about 100 slides.

Great video, really helpful! Also good to note though that ascites/oedema also occurs due to decreased function of the liver leading to decreased production of albumin which is important to maintain oncotic pressure in starling's forces.

I'm a medical student from Tunisia and I just discovered your channel, thanks a lot, keep up the good work!

I am a nurse and I have learned more about health from you, Dr. Berg, than from nursing school or even in my nursing practice with any other doctors.

i don't think anyone else has ever explained this thing more precisely and easily than you. got my concepts crytsal clear for the first time. can't thankyou enough. plus im so amazed by your visual representation.

Is being a while stop drinking is the best decision I have made in my life ready for the healthy life 💪🏾💪🏾💪🏾🙏🏾🙏🏾

I really love the way of your teaching, using appropriate diagrams and detailed information and dissection of the topic to make it more understandable instead of cramming it.

You’re awesome sir❤❤ I’ve been watching ur videos since my 1st year MBBS and now I’m in final year MBBS ur videos are really very helpful in my journey from physiology to general medicine ❤❤ Thank you so much 🙏🏻🙏🏻

Impressive, I've been studying this over 2 years and this is the most comprehensive video. In critique, it was heavy on the circulatory side and vacant on the digestive side, that said, it's a complex system not completely understood and your video makes that clear -- there is a lot going in in there.

This video is GOLD!! Thank you SO MUCH for this video… you made a difficult chapter in pathophysiology make complete sense. Please continue to make videos! You have a great talent :)

this video is AMAZING! u made something complicated relative easy to understand. thnx a million

This was amazing! As a nurse I find this so valuable!

Thanks so much for this video! I was struggling to understand the implications of cirrhosis, but you have covered them clearly - with fantastic diagrams!

I am sitting here in tears as I have everysingle thing mentioned in this video related to the fact leading towards a diagnosis. To the point of my last recent blood tests revealing this looks to be the case. I see my doctor again on Thursday and am due for my 2nd blood test of what I have been told become 5 weekly (on going at this stage) Since my last visit ti the doctor more or the mentioned symptoms have become very prominent. I cannot believe just how quickly the onset has been. I also struggle with depends issues (only or the last few years) since having severe trauma in multiple aspects. I have turned 44 and right now feel so very alone. To end my communication and I feel what may be a venting public realisation, I do wish to sincerely thank you AH for you amazing explanation and also for your truly also amazing, artworks. As hard as this moment right now Is, I am grateful for your knowledge and clear and concise (overview) for lack of better way to explain. I could not be more grateful 🙏🏼

Systemic effects of Liver Cirrhosis explained clearly in 20 minutes and 8 seconds. I've subscribed to your channel. Well done sir. Thank you!

I've needed 3 weeks to understand Liver Cirrhosis by all the books in the library... but with this Video.....only needs 20 minutes to be master... thank u so much...

The explanation along with very clear drawing are brilliant. Thank you, my husband just been diagnosed with cirrhosis.

This video is actually amazing! You linked so many things together that things are actually starting to make sense.

Not only are you a fantastic artist but an amazing teacher - your videos are invaluable! THANK YOU!!!

I don't know how you drew this and got everything to fit perfectly. This was beautiful to watch. Thanks for posting.

one of the most useful channels on youtube , GREAT JOB

Crazy, I'm used to watching your most recent videos and came across this one! Quality is the same, but graphics and lighting are definitely better. Keep up the great work!

im a pharmacist from India, and you have been helping me with your videos for a long time...thank you!

haha. I love the liver

Thank you for your video. My husband is currently in the ICU connected to the ventilator due to his cirrhosis disease. Listening to the doctors when doing their rounds discussions, I’ve picked up the gists of the seriousness of my husband’s condition and now it makes sense after watching your video. Thank you!

Armando, Thank You for this education, I learned a great deal (which is important because of my Liver condition), your fantastic art work helped in understanding the entire process.

Your are my favourite teacher since my medical first year... this topic i have cover in two days but i didnt feel any kind of bore .. stay blessed

Dude I LOVE your video's! It's all so clear when i watch them, so much better then in my books! THANKS!

OMG, I was worried about not understanding cirrhosis for my test tomorrow, but now I feel like I could teach it to my entire nursing class. This is one system down, two more to go. I am now a subscriber and will push these videos to my classmates. Awesome explanation and insane artwork. Thanks again.

EDIT: Hepato-Renal syndrome: advanced liver cirrhosis -> liver endothelin -> nitrous oxide also cause splanchnic vasodilation -> decrease effective blood volume -> decrease renal plasma flow -> JG cells renin -> vasoconstrict to increase BP but also vasoconstrict efferent/afferent arterioles -> decrease RPF further -> kidney hypoperfusion -> Kidney failure TXT: splanchnic vasoconstriction octreotide

Probably the most informative thing I have ever seen! Brilliant - keep it up!

I suffered through a 4 hr lecture when I could've just watched your 20 min video 😩🥂

Thank you so much! I am currently doing a presentation on Liver Cirrhosis and have to bring the patho to MODS. This was extremely helpful.

This is an approach of liver cirrhosis, the story from a to z from normal physiology a detailed remainder of it to the liver cirrhosis and its complications, your videos has never fail to be one of the best for me. Thank you 🎩

Video may have been boring??? I was at the edge of my seat learning about this! I really enjoyed this video! Favorite part was actually understanding the cascade effect that happens within the body and the drawings. Thank you so much for this! #nursingstudent

This was one of the best videos I have ever watched. Thanks so much!

That was the simplest explanation, thank you! Everything makes perfect sense.

You are great at drawing which is unlike any instructor I've ever had!! Great video!

Armando you are the best, you have a gift my friend. I learned from your videos since i was in med school, and years later i still enjoy refreshing concepts with them. your like the fotographic memory i never got.

I have literally been learning concepts from you since my high school till date I.e, Med school final year , lover your presentations .

omggg!! u r an absolute genius man .. wat a clear explanation with splendid sketches ... ufff! amazed .. dude u inspire me... thank you! may God blesss u

Just diagnosed with advanced liver disease 2 weeks ago. Learning all I can before I see the Gastroenterologist. This has been very helpful as a guide. Thanks.💗

Excellent use of drawing to explain the systemic relationship to other essential organs. 👏👏👏👏👏

OMG! How can this be boring man! This is absolute gem❤️.. How can someone describe so much in this short period of time! Time savior as well as life savior❤️💗💗

Thank you - I appreciate the clear and concise illustration which brings understanding. THANK YOU.

Awesome demonstration showing how so many body systems are connected (and depend on each other).

Thankyou so much for all ur videos! Wonderful drawings, clear explanation, and making everything I read from lecture notes more sensible and interesting! Thank you so much and please make more of these videos! Really helpful!:D

I enjoy your videos so much, they are easy to follow and make sense. Thank you.

Iam in love with ur lecture bro . Thats preety cool and easy to understand the topic . The diagram which u draw makes me understand more deep . Sometimes if I don't feel like study books I just check ur videos . I can conclude this by saying that . U r videos made my medical life more easy . Share ur knowledge and create more Dr's .😘👌👍 carry on

Mr Armando, me, what dyslexia? You make physiology easier for me. For years of m y nurse training, i have been watching your VIDs, and i must say, I've never failed once! The visual drawings and explanations do it for me always. Thank you sir.🤝 You'll be rewarded👏

NOT BORING...amazing! Thanks, couldn't get through the nursing course without you!!!

Haemorrhoid is NOT by portal system, thus differentiates it self from rectal varices. Really enjoy your videos. Thank you very much for making the pathophysiology so simple to follow

Thank you doctor.Really want the video to go on and on . You're a true artist and scientist

i literally paused to grab a cup of hot coffee because its 2.25am and raining outside and ur drawing was jus too good to watch till the end .... wat an effort jus amazing

When Science meets Arts

Boring? You made this very easy to understand! Thank you I enjoy all of your videos. Drawings are amazing too. Thanks for all you do!

You are wrong! This video is not boring. It is a blessing from God. Thank you, sir!!!

Oh my god. How can someone explain so beautifully!! I cant thank you enough man. You deserve the best. Thank you so much ❤️

This just what I was reading, you help me a lot now I understand it better thank you so much! By the way your draws are awesome :)

Amazing knowledge plus a fine artist talent, great work you sir are very multi talented.

Thank you my husband is dying from liver heart and kidney failure. It gave me understanding of what is going on.

Wow! The way you explained this topic is amazing! Thank you so much 💘

Thanks a MILLION :') You just made it all so simple to understand

Your videos are so helpful. Thank you so much ^_^ I love your pictures , love your videos and the way you draw them.

You mentioned boring at the end but trust me this video is very interesting and I actually understand what liger cirrhosis perfectly. Thank you so much.

I love your videos. You always amaze me with your knowledge. I cant thank you enough for sharing your knowledge with us!!!! Your drawings are amazing as well. Honestly think you should be an educator!!!

The best teacher on I KZfaq I ever seen.More power to you

Definitely not boring, really informative and helpfull. Keep teaching.

Love this! This is fresh air for the visual learner. Nicely done :)

I was diagnosed with renal cell carcinoma (kidney cancer) and cirrhosis disease in which I have tried all I could with medical prescription all to no avail.february 1999 and had my left kidney removed at that time. It was determined that no other treatment was needed. This was an incidental finding, seen on an ultrasound to check my gall bladder - I had no signs or symptoms from this tumor. I was followed for 6 years and was deemed cured. In April 2014, 15 years later, I noticed a lump at the top of my sternum and it turned out to be renal cell carcinoma from the tumor previously removed. I am now Stage 4 as this is a metastasis. The cancer had grown through and broke the bone - I never had any pain or symptoms. I had 10 radiation treatments and was put on oral in August 2014. I started experiencing bone pain in Feb/March 2016 and was given an additional 10 radiation treatments which eliminated the pain. A break in the bone just below the tumor was later identified when the scar tissue developed. I remain on daily oral chemotherapy, I was recently introduced to a Chinese herbalists Dr sale bashiru I contacted him and after necessary questions and forms fill out sent me herbs and oil that cured me of all this diseases within three months of trial.im now symptoms and pain free.here is my email address if you may need help. sarahsmi100@gmail.com

the summary of lots of things...the power of visualisation, art and knowledge is being put together... super :)

Great Job... Keep doing great things. Knowledge is POWER

Sir ... congrates .. the way you have explained about Cirohsis is Amazing .. being a Cirohsis patient since 5 yrs I have gone through all the steps .. But Solace for me is I am right path of treatment .. Thanks alot.. God Bless you sir ..😚👌👌👌👍👏👏

thank you so much for sharing , you teach in very smart and clear way , absolutely not boring but very interesting and huge amount of infos tho ! lol , im watching your vedios since i was a first year medical student until now , and every time you give me full charge of info and clear all questions in my mind ! huge thanks !

Wow, after finishing this video, it makes me want to quit alcohol altogether. I didn't realize how important the liver is to the entire human body. Thank you so much for this. For those of you who drink excess alcohol, take heed, YOU ONLY HAVE ONE LIVER!! Take care of it

great video! thanks Armando. your illustrations are so clear and easy to understand, would it be possible to share them in some way?

It was funny because I only decided to watch this after my dad died of it. I wish I'd have watched this because it's so informative and detailed. A very good job.

Dude you're a living legend, many thanks.

I truly admire you, your art work is amazing and ur communication is so clear! you are THE man!

Thank you so much for your great and clear lecture. i was so good. keep doing your lectures.Also can not mention that your drawing skill is awesome

In Hepatorenal syndrome, there is basically portal hypertension and the damaged liver released some mediators and therefore splanchnic vasodilation occurs (Remember: the kidneys are not part of the splanchnic circulation). This causes a decrease in arterial filling which activates arterial and cardiopulmonary receptors and causes compensatory vasoconstriction and RAAS activation so Sodium and Water are retained and the plasma volume is increased! In basic terms, the kidney is getting less blood compared to the other organs cause their arterial supply was dilated, so the kidney thinks there is less volume so it activates RAAS and you get edema formation and renal vasoconstriction (which is hepatorenal syndrome)! Thanks a lot as always!

"15:59 - the blood leaving the heart - the atrial blood supply" The blood +O2 supply for all organs leaves the heart through the ventricle. It comes through the atrium (from lungs through pulmonary veins) -> ventricle (Aorta Thoracic + Abdominal) -> cells/tissues/organs, then comes back to the right atrium (through Vena Cava superior + Cava inferior) -> right ventricle (then it's Pulmonary Artery's job to distribue the CO2 blood back to the lungs) You might confuse beginners if you say "the blood leaving the heart - the atrial blood supply".

Wow, someone of science with an artistic side also! Very informative - thank you!

Very simple and clear explanation, love the drawings, thanks duuuude, make more.

Great illustrations. A couple mistakes along the way but if the topic was reviewed before, they will take nothing away from this awesome presentation. I finally understand Liver Cirrhosis. Thanks.

At first, it was boring but when you started to explain the symptoms I need to know for my exam, it gets interested. Thank you for explaining it :) I think if they ask me to discuss the pathophysiology of the liver cirrhosis, i could make 2 pages lol :) Thank you!

This video was very informative and professional. I have portal hypertension and stage 4 cirrhosis. Never got this much info from MD Anderson or any other Dr I have. Thanks for such an informative video.

Bloody Brilliant! Thanks for letting me understand how serious my condition is.

Excellent explanation. Thank you for being so creative and clear.

Great work, proves that u put lot of effort to make this video,well done

Armando , The Bypass That Causes Esophgeal Varices Is Called Porto Sytemic Shunts ( Porto Caval Anastmosis ) Shunt / Anastmosis Between Superior Rectal Vein ( Anatomically Imactive Unless Bypass Is Needed ) With The Esophgeal Branch Of Gastric Vein Causing Esophgeal Varices Then Connectimg With Inferior Vena Cava Above Liver Level Which Allows Ammonia To Escape Liver Metabolism & Entering Urea Cycle Leading To Absence Of Fumurate Which Will Lead To Confusion Of Krebs' Cycle Which Will Allow Ammonia To Pass The Blood Brain Barrier Reaching The Brain Causing Hepatic Encephalopthy . . . . . . Potassium Regulates Blood Brain Barrier Permability But In LCF Or Cirrhosis The K Is Found In Ascities & Edema Which Will Increase The Permability Of BBB To Ammonia So Paracentisis Is Not Advised In Ascites . . . About Hepato Pulmonary Syndrome , What You Said Is Right But It Doesnt Explain Cyanosis In Cirrhosis , From What I Read , It Has Similar Mechanism To That If Porto Caval Anastmosis . . . A Hepato Pulomnary Shunt Will Be Made That Actually Allows A Portion Of Blood Not All To Skip Heart For Oxygemntion Causing Central Cyanosis Amd Some Patients Very Rare Develop Jaundice & Cyanosis Clearly . . . . PS I Love Your Vids Man :) Greetings From An Egyptian Med Student :D

excellent explanation and outstanding drawing skills., i learned a lot ,thanq very much...

Thank you for the great video There's one tiny mistake that i need to point out The prevalence of hemorhoids in portal hypertension does not differ from the normal population We have rectal varices in portal htn that can be treated with lowering the portal pressure which is different from hemorhoids that are treated with hemorhoidectomy or conservative managements

One of the finest video I have ever seen If you were my teacher during my college days damn I would love to go to college all day

lots of love from India sir ...tnx for making eeser this topic which is tooo tough....

Wow! that made a lot of sense. I am suffering from cirrhosis, and am dedicated to heal myself. I now understand that my condition is improving, as I do not continue to have the symptoms when this all began. Constant liver detoxification methods on a daily basis, diet, exercise, with lots of specific herbal supplements. Thank you so much for this brilliant illustration.

Excellent explanation on this liver problem. Thank you.

You explained everything so well and precisely... This condition can get worse without proper treatment and delayed diagnosis... You can take liver care pack for better results ....take care...

amazing drawing and fabulous lecture! thank you so much