7: Clinician's perspective Flashcards Preview

CLASP: Alcohol 2017/18 > 7: Clinician's perspective > Flashcards

Flashcards in 7: Clinician's perspective Deck (41)
Loading flashcards...
31

A lot of people don't know they have cirrhosis because their disease is ___.

compensated

32

What are the signs of decompensated cirrhosis?

Ascites

Encephalopathy

Jaundice

Portal hypertension signs (varices inc. spider naevi and caput medusae)

Cutaneous signs (erythema, Dupuytren's)

33

Decompensated cirrhosis is a disease associated with high ___.

mortality

34

What must be maintained in a patient with liver disease?

Abstinence and nutrition

35

Cirrhosis patients have an increased risk of developing ___ ___.

hepatocellular carcinoma

36

Which cancers are associated with alcohol consumption?

Head and neck

Oesophageal

Liver

Breast

Colorectal

37

Which metabolite of ethanol is thought to be carcinogenic?

Acetaldehyde

so the more alcohol you drink, the more "" metabolised at sites other than the liver and the greater your risk of cancer

38

The level of which hormone is higher in alcohol drinkers?

What disease may this fact be associated with?

Oestrogen

Breast cancer

39

What consultation tactic can be used to talk to patients about their alcohol intake?

Brief intervention

40

Patients can also be referred to alcohol ___ services.

support

41

What are some drugs which can be used to help patients with abstinence from alcohol?

Acamprosate

Disulfiram

Naltrexone