alcoholic liver disease Flashcards

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1
Q

what is the recommended alcohol limit for men and women ?

A

14 units of alcohol

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2
Q

what are the three main liver conditions associated with alcohol consumption ?

A

hepatic steatosis
alcoholic hepatitis
alcohol related cirrhosis

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3
Q

what is the most common liver change found in alcoholics ?

A

fatty liver which is reversible

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4
Q

what is the management for severe alcoholic hepatitis ?

A

screen for infections
ascitic tap
treat for spontaneous bacterial peritonitis
stop alcohol consumption ( give lorazepam for withdrawal )
vitamin k and thiamine
prednisolone

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5
Q

what effect is the result of binge drinking alcohol ?

A

alcoholic hepatitis

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6
Q

which stages of liver infection associated with alcohol is reversible ?

A

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

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7
Q

what is asterexis a sign of ?

A

hepatic encephalopathy - decompensated liver disease

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8
Q

what are the results of blood tests in alcoholic liver disease ?

A

rraiised MCV
rasisd ALT and AST ,raisedd GGT
elevated prothrombin
U+E may be deranged due to hepatorrenal syndrome

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9
Q

what is thiamine used to prevent ?

A

wernicks-korsakoff syndrome

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10
Q

what is the most dangerous complication of alcohol withdrawal ?

A

delirium tremens

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