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Alcoholic Fatty Liver

 Syn. Alcoholic Fatty Liver Disease , FATTY LIVER ALCOHOLIC , alcohol induced fatty liver

Signs & Symptoms

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

Physical Examination

 Malnutrition
Ref: Uptodate [ Clinical manifestations and diagnosis of alcoholic fatty liver disease and alcoholic cirrhosis] Epocrates [ https://online.epocrates.com/diseases/111633/Alcoholic-liver-disease/History-Exam]
Dizziness
Ref: Cecil [ 375]
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

 Elevated bilirubin
Note: due to impaired metabolic function of the liver in the absence of biliary obstruction
Ref: Epocrates [ https://online.epocrates.com/diseases/111631/Alcoholic-liver-disease/Diagnostic-Approach]
Low albumin
Note: due to impaired liver synthetic function
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]

Imagin Study

 Ultrasound demonstrate portal vein flow reversal #Advanced_liver_injury
Ref: Harrison [ 2400]
Ultrasound demonstrate ascites #Advanced_liver_injury
Ref: Harrison [ 2400]
Ultrasound demonstrate intraabdominal venous collaterals #Advanced_liver_injury
Ref: Harrison [ 2400]

Complication

 Lightheadedness
Ref: Cecil [ 375]
Dizziness
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]
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