Liver Case study notes

Question 1

Weekly alchohol recommended intake for Men/Women

Answer 1

UNDER 21 units men/14 unites women

Question 2

A pint at 4% is how many units?

Answer 2

2

Question 3

Small glass of wine units

Answer 3

1.5

Question 4

When re alcohol withdrawl symptoms seen?

Answer 4

24-72h after last drink

Question 5

What are the symptoms of alcohol withdrawal?

Answer 5

Sweating
Tachycardia
Hypertension
Anxiety
Headache
Insomnia
Visual hallucinations
Weakness
Nausea
Retching
Vomiting
Seizures

Question 6

Management of alcohol withdrawal?

Answer 6

Reducing course of benzodiazapine (depressant)
Electrolytes and dehydration
Thiamine (B12)

Question 7

Wernicke’s encephalopathy is usually caused by a deficiency of vitamin….

Answer 7

B1

Question 8

The other main psychiatric condition which often occurs following Wernicke’s encephalopathy is….

Answer 8

Korsakoff’s syndrome

Question 9

Cachexia meaning

Answer 9

weakness and wasting of body due to severe chronic illness

Question 10

What is Wilson’s disease?

Answer 10

Excess Copper (genetic disorder)

Question 11

What is haemachromatosis

Answer 11

Excess iron build uo

Question 12

Is Ascites accumulation of fluid in the peritoneal cavity?

Answer 12

Yes

Question 13

What are the main 3 reasons for ascites?

Answer 13

Portal system hypertension
low serum albumin
hypoperfusion of kidneys -> salt and water retention

Question 14

What is Budd-Chiari syndrome

Answer 14

blocked/narrowed hepatic veins by a clot

Question 15

What does terlipressin do?

Answer 15

Vasoconstricts, splanchnic arterial constriction

Question 16

Where do the portosystemic anastomoses occur?

Answer 16

Oesophageal varices
rectal varices (haemhoroids)
retroperitoneal varices
Umbilical varices (caput meduse)

Question 17

What drug is used to reduce the risk of further bleeding from an oesophageal varices/

Answer 17

A Beta-blocker