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Chronic Liver Disease and Alcohol Misuse Symptoms

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Chronic Liver Disease and Alcohol Misuse Symptoms

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Questions and Answers

What is the most common cause of chronic liver disease in the man described?

Alcohol consumption (correct)

Liver cirrhosis

Hepatitis viral infection

Autoimmune hepatitis

Why is the man at increased risk of alcohol misuse according to the information provided?

Because of his morning nausea and vomiting

As he works in the catering business (correct)

Because he has spider naevi

Due to his cushingoid appearance

What might be the cause of the macrocytic anaemia described in the man?

Excessive vitamin B12 intake

Increased iron absorption

Direct toxic action of alcohol on bone marrow (correct)

Viral infection affecting bone marrow

Why is the rise in bilirubin insufficient to cause jaundice in this man?

Normal liver function tests Signup and view all the answers

What might be a possible reason for thrombocytopenia in this man?

Liver cirrhosis-induced spleen enlargement Signup and view all the answers

Why did the man initially deny his alcohol intake when discussing his diagnosis?

His alcohol intake was actually low Signup and view all the answers

What is the crucial aim in managing a patient with portal hypertension in this case?

Encouraging the patient to stop drinking alcohol Signup and view all the answers

How can alcohol withdrawal seizures be reduced in this patient?

Following an alcohol withdrawal regimen with diazepam Signup and view all the answers

What is the purpose of surveillance endoscopy and banding of oesophageal varices in this patient?

To address evidence of portal hypertension Signup and view all the answers

Which intervention can be used if the ascites in this patient is diuretic resistant or very uncomfortable?

Therapeutic paracentesis with albumin infusion Signup and view all the answers

What should be considered if oesophageal varices are present in this patient?

Using propranolol to reduce portal hypertension Signup and view all the answers

Why did the patient die 3 years later according to the text?

Because of a second bleed from oesophageal varices Signup and view all the answers