Alcohol Related Liver Disease Flashcards
what is the acronym questionnaire for alcoholism
CAGE
what does CAGE stand for
ever felt the need to CUT down
ever felt ANNOYED by criticism of drinking
ever felt GUILTY
need an EYEOPENER
two other questionnaires in suspected alcoholism
FAST and AUDIT. If FAST is positive (>=3) the AUDIT
signs of alcohol affecting the liver
signs of chronic liver disease
jaundice
muscle wasting
which amino transferase is most raised in alcohol abuse
AAT (aspartate)
liver bloods in alcohol abuse
raised AAT
raised gamma GT
low platelets
macrocytosis (large RBC)
what is thrombocytopenia
low platelets
what is often seen in liver on US in alcohol abuse
fatty liver
causes of hepatic encephalopathy
gi Bleed Drugs Infection Constipation Electrolyte Imbalance
treatment of hepatic encephalopathy
antibiotics, enema, supportive care
features of spontaneous bacterial peritonitis
abdominal pain fever, rigors renal impairment tachycardia pyrexic
investigation of SBP
ascitic tap for culture, cell count, proteins and glucose level
treatment of SBP
IV antibiotics
fluid drainage
IV albumin infusion
LFTs in alcoholic hepatitis
raised bilirubin, gamma GT and AlkP
Presentation of Alcoholic Hepatitis
jaundice
encephalopathy
infection
