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MSRA > Misc > Flashcards

Misc Flashcards

1
Q

What are the screening tools for alcohol excess?

A

CAGE
AUDIT

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2
Q

What are some clinical signs of chronic alcoholism?

A

Hands: Palmer erythema, Dupuytren’s contracture
Abdo: gynaecomastia, testicular atrophy, splenomegaly
Skin: spider naevi
Neuro: liver flap, polyneuropathy, sensory ataxia, cerebellar signs, confusion/Wernicke’s encephalopathy, Korsakoff’s syndrome (anterograde and retrograde amnesia, confabulation)

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3
Q

What is the weekly max alcohol intake recommendation?

A

14 units a week over 3 or more days with some alcohol-free days

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4
Q

What is Wernicke’s encephalopathy?

A

acute thiamine (vit B1) deficiency
Triad:
🔺ophthalmoplegia
🔺fluctuant mental state
🔺ataxia

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5
Q

What are some medical managements of alcohol excess?

A

Benzos - chlordiazepoxide regime for withdrawal
Disulfram promotes abstinence C/I in IHD and psychosis
Acamprosate reduces cravings

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MSRA (16 decks)

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