Class notes

Alcoholic liver disease and cirrhosis

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Course
Medicine

Institution
Queens University Belfast (QUB)

This document contains all the relevant student knowledge pertaining to Alcoholic liver disease and cirrhosis. It includes: Pathophysiology Symptoms Diagnosis Imaging Treatment

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Uploaded on December 18, 2022
Number of pages 11
Written in 2022/2023
Type Class notes
Professor(s) Caitlin austin
Contains All classes

hepatology
alcohol
medicine
cirrhosis

Institution
Queens University Belfast (QUB)
Education Unknown
Course
Medicine

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Stepwise progression of alcoholic liver
Alcohol related fatty liver Build up
of fat in the liver Reversable process
if alcohol stops

Alcoholic hepatitis Inflammation of the liver sites LETS
show hepatocellular
injury T ALT t AST

Liver cirrhosis Irreversable liver consists of scarring fibrosis

CAGE questions Harmful alcohol use screen
C cut down have you ever tried
A annoyed does people's gns about alcohol annoyyou
G do
you ever feel guilty about
guilty drinking
E
eye opener do
you drink in the Am

Symptoms
Jaundice Snaecomastia
Hepatomegaly Bruising
Spider Nae Ascites
Palmar erythema Caput Medusae
Asterix is liver flap

, Diagnosis
A Bloods 7 T MCV TT AST ALT hepatic picture
d Albumin T Bilirubin
T prothrombin time

Deranged Ute in hepato renal syndrome

B Ultrasound described
May show
fatty changes
as t
echogenicity
Fibro scan

C Endoscopy To assess for treat oesophagael
varices

Management
Immediately stop drinking
Consider a detox regime
Nutritional support esp Thiamine
Steroids over 1 month short term outcomes
may improve
in severe alcoholic hepatitis
Treat complications 7 Portal HTN varices ascites hepatic
encephalopathy

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