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Alcoholic Liver Cirrhosis

 Syn. Alcoholic Cirrhosis , Alcoholic cirrhosis of liver

Signs & Symptoms

 High-grade fever
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Fatigue
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Fever
Note: Fever in the absence of infection can occur in patients with ALD
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Anorexia
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]

Physical Examination

 Cutaneous telangiectasias
Ref: Uptodate [ Clinical manifestations and diagnosis of alcoholic fatty liver disease and alcoholic cirrhosis]
Palmar erythema
Ref: Uptodate [ Clinical manifestations and diagnosis of alcoholic fatty liver disease and alcoholic cirrhosis]
Ascites #Advanced_ALD
Note: due to portal hypertension
Ref: Uptodate [ Clinical manifestations and diagnosis of alcoholic fatty liver disease and alcoholic cirrhosis] Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]

Lab / Serology

 Anemia
Note: due to iron deficiency, due to gastrointestinal bleeding, due to folate deficiency, due to hemolysis, due to hypersplenism
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
AST level is above ALT level
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
AST to ALT ratio is greater than 2
Note: Reversal of the ratio suggests the concomitant presence of viral hepatitis
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]

Imagin Study

 Right side Hepatic hydrothorax
Ref: Harrison [ 2412]
Hepatic hydrothorax
Ref: Harrison [ 2412]
Parotid enlargement
Ref: Harrison [ 2335] Epocrates [ https://online.epocrates.com/diseases/111633/Alcoholic-liver-disease/History-Exam]

Complication

 Splenomegaly #Advanced_ALD
Note: due to portal hypertension
Ref: Uptodate [ Clinical manifestations and diagnosis of alcoholic fatty liver disease and alcoholic cirrhosis] Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Flank dullness
Ref: Uptodate [ Evaluation of adults with ascites]
Excessive fatigue
Ref: Harrison [ 2412]

Risk Factors

 Alcohol
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Female
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Hepatitis C
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]

Cause

Other