Alcoholic hepatitis screening
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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.