Term
| What are implicated in the pathogenesis of alcoholic liver disease? |
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Definition
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Term
| What do cytokins activate? |
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Definition
| Kupffer cells, leading to enhanced chemokine release |
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Term
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Definition
| Chemokines, in turn, directly and indirectly damage liver hepatocytes |
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Term
| What is the earliest change seen in alcohol liver disease? |
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Definition
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Term
| What is the second and more serious form of alcoholic liver disease? |
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Definition
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Term
| What is the third and most serious form of alcoholic liver disease? |
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Definition
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Term
| Ethanol can develop and travel to the brain in cirrhosis, what can this cause? |
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Definition
-Dementia and psychosis
-Cerebellar degeneration
-Upper alimentary tract cancer and liver cancer
-Hematopoietic changes |
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Term
| What is , severe alcoholic steatohepatitis characterized by? |
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Definition
| by the sudden development of tender hepatomegaly, jaundice, and fever in a person who has been drinking heavily, flulike |
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Term
| What is a significant feature in advanced kidney disease? |
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Definition
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Term
| The clinical presentation of alcoholic hepatitis often is nonspecific and may include... |
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Definition
| nausea, vomiting, anorexia, malaise, weight loss, and fever |
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Term
| Alcoholic cirrhosis may remain BLANK for many years until sufficient destruction of the liver parenchyma has occurred to produce clinical evidence of hepatic failure. |
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Definition
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Term
| What are the steps for the treatment alcoholism? |
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Definition
1.The first and second steps consist of identification and intervention, respectively
2.A thorough physical examination is performed to evaluate organ systems that could be impaired
3.The third step is to manage the central nervous system depression caused by the rapid removal of the ethanol
Administration of a benzodiazepine, with gradual decrease in serum levels of the drug, alleviates alcohol withdrawal symptoms |
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Term
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Definition
| makes you sick when you consume alcohol, used to treat alcoholism |
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Term
| What are the three areas of concern when treating someone with alcoholic liver disease ? |
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Definition
-Bleeding tendencies
-Unpredictable metabolism of certain drugs
-Risk of spread of infection |
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Term
| Does a patient wth alcoholic liver disease need a med con? |
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Definition
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Term
| Patients with cirrhosis have more what? |
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Definition
-plaque
-calculus
-gingivitis
**from neglect** |
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Term
| Patients may require more or less medication with alcoholism? |
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Definition
| Liver enzyme induction and central nervous system effects of alcohol in patients with alcoholism can require use of increased amounts of local anesthetic or additional anxiolytic procedures |
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Term
| What is a frequent finding in patients with cirrhosis? |
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Definition
| A bilateral, painless hypertrophy of the parotid glands |
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Term
| Alcohol and tobacco use are both big risk factors for what? |
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Definition
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