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Alcohol Misuse (GI problems (pancreatitis, hepatocellular carcinoma,…
Alcohol Misuse
GI problems
pancreatitis
hepatocellular carcinoma
gastritis
oropharyngeal cancer
obesity
peptic ulcers
ascites
alcohol history
what
when
where
why
impact
addiction screen (CAGE)
other problems
nutritional def
alcoholic cardiomyopathy
peripheral neuropathy
thiamine deficiency
Wernicke's encephalopathy
Korsakoff's
liver
fatty liver
alcoholic hepatitis (80% ->cirr)
cirrhosis (compensated/decompensated)
increased GGT
blood
increased MCV
anaemia
max 14 units/week recommended
symptoms and tests
malaise
Increased TPR
anorexia
Increased INR
d&v
Increased AST
tender hepatomegally
Increased MCV
jaundice
increased urea
bleeding
decreased platelets