Consequences of alcohol Flashcards
How much alcohol should men and women drink in a week?
14 unis
= spread evenly over 3 days or more
what are haematological effects of alcohol?
Chronic
- anaemia
- bone marrow suppression
what are CNS effects of alcohol?
Acute
= violence
= accidents
Chronic
= cerebellar degeneration
= dementia
= neuropathy
what are GI effects of alcohol?
Acute
- oeosphagitis
- acute pancreatitis
- gastritis/ulceration
Chronic
- stomach
- liver
- pancreas
what are resp effects of alcohol?
Acute
- aspiration
- overdose
what are CV effects of alcohol?
Chronic
- hypertension
- cardiomyopaty
- MI
- stroke
what are musculoskeletal effects of alcohol?
Chronic
- proximal myopathy
- osteoporosis
what are 3 other effects of alcohol?
- endocrine
- dermatologic
- reproductive
what is foetal alcohol syndrome?
= when children are exposure to alcohol in utero
how many drinks when pregnant can cause damage to a foetus?
= 7-14drinks a week (particular > 5 occasions)
what are consequences of foetal alcohol syndrome?
- growth deficiency
- mental retardation/intellectual impairment
- attentional leraning disability
- behavioural problems
what are signs of chronic liver disease?
- stigmata: spiders, fetor, encephalopathy
- synthetic dysfunction
- prolonged prothrombin time, hypoalbuminaemia
what are signs of portal hypertension?
- caput medusa
- hypersplenism
- thrombocytopenia (pancytopenia)
what are essential features of alcoholic hepatitis?
- recent excess alcohol
- bilirubin > 80
- exclusion of other liver disease
- AST < 500 (AST:ALTT ratio > 1.5)
what are symptoms of alcoholic hepatitis?
- hepatomegaly
- fever
- leucocytosis
- hepatic bruit
= in appropriate context
