Alcohol related liver disease Flashcards
1
Q
How would you manage alcohol hepatitis?
A
prednisolone
thiamine + frequent feeds
treat any withdrawal
2
Q
how would you determine if a patient with alcohol hepatitis would benefit from steroids?
A
maddrey’s discriminant function > 32
glasgow alcohol hepatitis score > 3
3
Q
what investigations would you carry out to confirm suspicion of alcohol hepatitis and what would they show?
A
gamma GT : elevated
AST/ALT ratio: > 3
