alcoholic liver disease - mx

Question 1

LFT results in ALD?

Answer 1

1. AST / ALT raised
   - AST > ALT
2. ALP elevated
3. GGT

Question 2

FBC results in ALD?

Answer 2

1. macrocytic anaemia
2. thrombocytosis
3. increased pro thrombin time
4. reduced serum albumin

Question 3

Imaging for ALD?

Answer 3

1. ultrasound

2. CT

Question 4

3 steps of ALD management?

Answer 4

1. abstinence from alcohol
2. Diazepam - acute alcohol withdrawl
3. IV thaimine - vitamin B1