alcoholic liver disease Flashcards
what is the recommended alcohol limit for men and women ?
14 units of alcohol
what are the three main liver conditions associated with alcohol consumption ?
hepatic steatosis
alcoholic hepatitis
alcohol related cirrhosis
what is the most common liver change found in alcoholics ?
fatty liver which is reversible
what is the management for severe alcoholic hepatitis ?
screen for infections
ascitic tap
treat for spontaneous bacterial peritonitis
stop alcohol consumption ( give lorazepam for withdrawal )
vitamin k and thiamine
prednisolone
what effect is the result of binge drinking alcohol ?
alcoholic hepatitis
which stages of liver infection associated with alcohol is reversible ?
fatty liver and alcoholic hepatitis are both reversible
fatty liver within 2 weeks if drinking stops
alcoholic hepatitis reversible with abstinence
liver cirrhosis is irreversible
what is asterexis a sign of ?
hepatic encephalopathy - decompensated liver disease
what are the results of blood tests in alcoholic liver disease ?
rraiised MCV
rasisd ALT and AST ,raisedd GGT
elevated prothrombin
U+E may be deranged due to hepatorrenal syndrome
what is thiamine used to prevent ?
wernicks-korsakoff syndrome
what is the most dangerous complication of alcohol withdrawal ?
delirium tremens