alcoholic liver disease Flashcards

1
Q

what bodies do you see in alcoholic liver disease?

A

mallory hyaline bodies

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2
Q

what kind of pneumonia is associated with alcoholics ?

A

klebsiella (kronenburg)

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3
Q

what is fatty liver ? is it reversible? how long do you have to drink for?

A

2-3 days

yes it is reversible

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4
Q

how long would you have to drink for to get hepatitis?

A

4-6 weeks

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5
Q

is hepatitis reversible ?

A

yes

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6
Q

after years can get fibrosis. is this reversible?

A

no

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7
Q

is cirrhosis reversible?

A

no

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8
Q

what symptoms do you get in ALD?

A

malaise, nausea, jaundice, fever, sepsis, encephalopathy, ascites, renal failure, death

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9
Q

how do fatty vacuoles appear in heatocytes ?

A

clear

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10
Q

how would you get alcoholic hepatitis ? what is characteristic?

A

heavy drinking - hepatomegaly±fever±leucocytosis±hepatic bruit

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11
Q

in alcoholic hepatitis, what is played down around cells?

A

collagen

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12
Q

what is the treatment of cirrhosis?

A

abstinence from alcohol

liver transplant

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13
Q

how is necrosis described ?

A

micronodular cirrhosis with abundant white scarring

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14
Q

in cirrhosis, what is separating regenerative nodules?

A

defined bands of cirrhosis

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15
Q

what score determines risk of malnutrition?

A

MUST score

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16
Q

what would AST/ALT ratio be like in an alcoholic

A

greater than 1 (although it can be cirrhosis of any cause)