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?

<p>Normal liver function tests (A)</p> Signup and view all the answers

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

<p>Liver cirrhosis-induced spleen enlargement (D)</p> Signup and view all the answers

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

<p>His alcohol intake was actually low (A)</p> Signup and view all the answers

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

<p>Encouraging the patient to stop drinking alcohol (C)</p> Signup and view all the answers

How can alcohol withdrawal seizures be reduced in this patient?

<p>Following an alcohol withdrawal regimen with diazepam (A)</p> Signup and view all the answers

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

<p>To address evidence of portal hypertension (C)</p> Signup and view all the answers

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

<p>Therapeutic paracentesis with albumin infusion (D)</p> Signup and view all the answers

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

<p>Using propranolol to reduce portal hypertension (D)</p> Signup and view all the answers

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

<p>Because of a second bleed from oesophageal varices (C)</p> Signup and view all the answers

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