Alcoholic hepatitis screening: Difference between revisions
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==Overview== | ==Overview== | ||
==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> | |||
** 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]]: | |||
******* 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]] | |||
==References== | ==References== | ||
Revision as of 04:09, 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
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:
- 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
- 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.