Alcoholic Hepatitis and Delirium Tremens

Alcoholic Hepatitis and Delirium Tremens

Normal liver
Fatty Liver
Alcoholic Hepatitis
Cirrhosis
Acute Alcoholic Hepatitis
Symptoms include
How to assess severe acute alcoholic hepatitis
Management of Alcoholic Hepatitis
TNF and Alcoholic Hepatitis
Management of Alcoholic Hepatits
Delirium Tremens
Treatment
Selecting patients for alcohol withdrawal outpaitent treatment
* Indications: Alchohol dependence with evidence of tolerance and withdrawal
* Contraindications:
o Coexisting acute or chronic illness requiring inpatient treatment
o Current severe withdrawal with DTs
o No possibility for follow up
o Pregnancy
o Seizure disorder or risk of withdrawal seizure
o Suicide risk
* Relative contraindications
o Benzo dependance
o h/o unsuccessful outpatient detozification
o Age>40 years
o Drinking >100g ethanol daily
o Elevated MCV
o Elevated BUN
o Cirrhosis
o Random blood alcohol >200mg/dl
References
Alcoholic Hepatitis and Delirium Tremens.ppt