Alcoholic hepatitis screening: Difference between revisions
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{{CMG}}; {{AE}}{{S.M}} | {{CMG}}; {{AE}}{{S.M}} | ||
==Overview== | ==Overview== | ||
Patients with excessive [[alcohol]] intake requires screening for [[alcohol]] use with [[AUDIT]] questionnaire. If the score is above 8, [[Alcohol use disorder]] is diagnosed and patient requires further evaluation by performing [[liver]] test and [[liver]] [[ultrasound]]. | |||
==Screening== | ==Screening== | ||
*Patients with excessive [[alcohol]] intake requires screening for [[alcohol]] use with [[AUDIT]] questionnaire:<ref name="pmid29336434">{{cite journal| author=Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH| title=ACG Clinical Guideline: Alcoholic Liver Disease. | journal=Am J Gastroenterol | year= 2018 | volume= 113 | issue= 2 | pages= 175-194 | pmid=29336434 | doi=10.1038/ajg.2017.469 | pmc=6524956 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29336434 }} </ref> | *Patients with excessive [[alcohol]] intake requires screening for [[alcohol]] use with [[AUDIT]] questionnaire:<ref name="pmid29336434">{{cite journal| author=Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH| title=ACG Clinical Guideline: Alcoholic Liver Disease. | journal=Am J Gastroenterol | year= 2018 | volume= 113 | issue= 2 | pages= 175-194 | pmid=29336434 | doi=10.1038/ajg.2017.469 | pmc=6524956 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29336434 }} </ref> | ||
** If AUDIT score ≤ 8: | ** If AUDIT score ≤ 8: | ||
*** Patient doesn't have [[alcohol use disorder]] | *** Patient doesn't have [[alcohol use disorder]] | ||
** If | ** If AUDIT> 8: | ||
*** [[Alcohol use disorder]] is diagnosed | *** [[Alcohol use disorder]] is diagnosed | ||
**** Check [[liver | **** Check [[liver]] test; if [[abnormal]]: | ||
***** Refer to [[alcohol]] [[addiction]] specialist | ***** Refer to [[alcohol]] [[addiction]] specialist | ||
***** Refer to [[GI]] [[specialist]]/ [[hepatologist] | ***** Refer to [[GI]] [[specialist]]/ [[hepatologist]] | ||
****** [[Non-invasive]] [[diagnostic tests]] are recommended such as [[Liver]] [[Ultrasound]]: | ****** [[Non-invasive]] [[diagnostic tests]] are recommended such as [[Liver]] [[Ultrasound]]: | ||
******* No sign of [[hepatitis]] or mild [[hepatitis]]; Follow up with [[primary care]] is suggested | ******* No sign of [[hepatitis]] or mild [[hepatitis]]; Follow up with [[primary care]] is suggested | ||
******* Advance [[fibrosis]] or [[cirrhosis]]; consider [[endoscopy]] and [[screening]] [[hepatic cellular carcinoma]] | ******* Advance [[fibrosis]] or [[cirrhosis]]; consider [[endoscopy]] and [[screening]] [[hepatic]] [[cellular]] [[carcinoma]] | ||
==References== | ==References== | ||
Latest revision as of 04:13, 30 July 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]
Overview
Patients with excessive alcohol intake requires screening for alcohol use with AUDIT questionnaire. If the score is above 8, Alcohol use disorder is diagnosed and patient requires further evaluation by performing liver test and liver ultrasound.
Screening
- Patients with excessive alcohol intake requires screening for alcohol use with AUDIT questionnaire:[1]
- If AUDIT score ≤ 8:
- Patient doesn't have alcohol use disorder
- If AUDIT> 8:
- Alcohol use disorder is diagnosed
- Check liver test; if abnormal:
- Refer to alcohol addiction specialist
- Refer to GI specialist/ hepatologist
- Non-invasive diagnostic tests are recommended such as Liver Ultrasound:
- Check liver test; if abnormal:
- Alcohol use disorder is diagnosed
- If AUDIT score ≤ 8:
References
- ↑ Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH (2018). "ACG Clinical Guideline: Alcoholic Liver Disease". Am J Gastroenterol. 113 (2): 175–194. doi:10.1038/ajg.2017.469. PMC 6524956 Check
|pmc=value (help). PMID 29336434.