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alcohol-related%20liver%20disease

ALCOHOL-RELATED LIVER DISEASE

Treatment Guideline Chart

Alcoholic liver disease diagnosis is suggested by an established history of habitual alcohol intake of sufficient length and intensity.
Signs of alcohol abuse and hepatic injury include malnutrition and muscle wasting, cutaneous telangiectasia, palmar erythema, finger clubbing, Dupuytren's contracture, peripheral neuropathy, parotid gland enlargement and signs of gynecomastia and hypogonadism may also be present. Patient may also be asymptomatic.

Alcohol-related%20liver%20disease Signs and Symptoms

Signs and Symptoms

Introduction

Patient may present with signs and symptoms related to portal hypertension:

Abdominal wall collaterals
Ascites
Splenomegaly
Venous hum
Hepatic encephalopathy

Signs and Symptoms

Signs of Alcohol Abuse and Hepatic Injury

Malnutrition and muscle wasting
Jaundice
Cutaneous telangiectasia
Palmar erythema
Finger clubbing
Dupuytren’s contracture
Rhinophyma
Spider angioma
Peripheral neuropathy
Parotid gland enlargement
Signs of gynecomastia and hypogonadism may also be present

Others

Patient may be asymptomatic
Hepatomegaly, which is the most common sign in patients with alcohol-related liver disease (ALD)
Hepatic bruit
Alcohol withdrawal (eg tremors, tachycardia, agitation, delirium tremens)
Anorexia, weight loss
Systemic inflammatory response syndrome (SIRS) (≥2 of the following: Heart rate >100 beats/minute, respiratory rate >12 breaths/minute, temperature >38°C or <36°C, WBC count >12,000 or <4000 mm)