Alcoholic Liver Disease Flashcards
1
Q
Alcoholic Liver Disease
A
live damage due to excess consumption of alcohol
2
Q
signs
A
liver disease: spider navei jaundice abdominal pain palmar erythema tremor ascites hepatomegaly
history of alcohol
3
Q
investigations
A
FBC - MCV LFTs - raised AST:ALT USS MRI/CT biopsy
4
Q
why would you do an endoscopy
A
to check for bleeding varices due to potential portal hypertension
5
Q
management
A
acute: steroids (no sign of infection or upper GI bleed) long term: permanent abstinence from alcohol nutritional support treat liver problems liver transplant therapy
6
Q
complications
A
Wernicke - encephalopathy
delirium tremens
7
Q
stages of a liver related to alcohol
A
- alcohol induced fatty liver
- alcohol induced hepatitis
- cirrhosis
8
Q
what questions are used
A
Cut down?
Annoyed?
Guilty?
Eye opener?
AUDIT
9
Q
what is the AST:ALT ratio in alcohol hepatic disease
A
2:1
10
Q
what is usually raised
A
gamma GT
