alcohol Flashcards
1
Q
Alcohol withdrawal
A
delirium tremens- seizures
2
Q
Alcohol related mental health
A
Anxiety depression sleep disruption morbid jealousy alcoholic hallucinosis deliberate self injury suicidal thoughts
3
Q
alochol problems
A
wernicke's encephalopathy -confusion, ataxia, opthalmoplegia, nystagmus korsakoff's psychosis -prominent impairment Thymine insufficiency
4
Q
CAGE (2 or more)
A
have you tried to cut down
have you felt annoyed by people critising your drinking
have you felt guilty
eye opener
5
Q
Medication
A
management of alcohol withdrawal -benzodiazepines commonly chlordiazepoxide Aversion -disulfiram Anti-craving medication -acamprosate -naltrexone -(Baclofen) off license
6
Q
balasubramaniam liver function test
A
ALT (very specific), AST
in alcohol drinking AST is higher than ALT
GGT
7
Q
fatty liver
A
more than 60 g alcohol daily
liver cells replaced by fatty acids & glycerol
continue
8
Q
hepatocellular cancer
A
alcohol accounts for a third of HCC median survival 6-20months leading cuase of mortality treatment TACE, RFA, MWA Surgery diagnosis: alpha fetal protein
