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
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
