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Alcoholic Hepatitis

 Syn. AH , ethanol; hepatitis

Signs & Symptoms

 Poor energy
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Lethargy
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Lack of stamina
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Weakness
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]

Physical Examination

 Jaundice
Ref: Uptodate [ Alcoholic hepatitis: Clinical manifestations and diagnosis] Harrison [ 2400] Cecil [ 452]
Liver is tender
Ref: Uptodate [ Alcoholic hepatitis: Clinical manifestations and diagnosis] Harrison [ 279]
Liver is enlarged
Note: due to fatty liver, due to swelling of hepatocytes
Ref: Uptodate [ Alcoholic hepatitis: Clinical manifestations and diagnosis]

Lab / Serology

 Elevated gamma glutamyl transferase
Note: mean GGT levels were 223 to 309 int. unit/L
Ref: Uptodate [ Alcoholic hepatitis: Clinical manifestations and diagnosis]
Biopsy reveal a predominance of neutrophils
Ref: Uptodate [ Alcoholic hepatitis: Clinical manifestations and diagnosis]
Leukocytosis with a predominance of neutrophils #Severe_alcoholic_hepatitis #Moderate_alcoholic_hepatitis
Ref: Uptodate [ Alcoholic hepatitis: Clinical manifestations and diagnosis]

Imagin Study

 Ascites #cirrhosis #Advanced_liver_injury
Note: due to cirrhosis with portal hypertension or transient portal venous obstruction from hepatic swelling
Ref: Uptodate [ Alcoholic hepatitis: Clinical manifestations and diagnosis] Harrison [ 2400] Cecil [ 452]
Ultrasound demonstrate portal vein flow reversal #Advanced_liver_injury
Ref: Harrison [ 2400]
Ultrasound demonstrate intraabdominal venous collaterals #Advanced_liver_injury
Ref: Harrison [ 2400]

Complication

 Dizziness
Ref: Cecil [ 375]
Lightheadedness
Ref: Cecil [ 375]
Cramping abdominal pain
Ref: Cecil [ 375]

Risk Factors

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

Cause

Other