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Alcoholic Liver Disease

 Syn. ALD , Hepatopathy alcoholic , alcohol induced liver disorder

Signs & Symptoms

 Fatigue
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]
Weight loss
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Jaundice
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]

Physical Examination

 Jaundice
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]
Abdominal wall collaterals
Ref: Uptodate [ Clinical manifestations and diagnosis of alcoholic fatty liver disease and alcoholic cirrhosis]
Cutaneous telangiectasias
Ref: Uptodate [ Clinical manifestations and diagnosis of alcoholic fatty liver disease and alcoholic cirrhosis]

Lab / Serology

 Hypokalemia
Note: cause muscle weakness
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Prolonged PT
Note: due to diminished hepatic synthetic function in advanced liver disease, cause gastrointestinal bleeding, cause gastropathy
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Hypophosphatemia
Note: cause muscle weakness
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]

Imagin Study

 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]
Portal hypertension
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Venous collateral circulations #Advanced_ALD
Note: due to portal hypertension
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]

Risk Factors

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