Core IM | Internal Medicine Podcast

#114 Alcohol-Associated Hepatitis: 5 Pearls Segment

Nov 9, 2022

41:46

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Highlights

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Episode notes

Alcoholism

04:27

Can We Use Naltrexone to Treat Alcohol Use Disorder?

04:38

Alcohol, Associate Hepatitis

02:34

Introduction

5min

Alcohol, Associate Hepatitis

3min

How Much Alcohol Does It Take to Develop Hepatitis A?

2min

Alcoholism

4min

A Patient With Alcoholic Hepatitis Has a High AST and ALT Levels, and They Might Have a Stone in Their Common Bile Duct

2min

Is Alcohol Toxicity a Cause of Sepsis?

2min

Alcohol Associated Hepatitis and SIROSIS

2min

Is There a Single Diagnostic Test for Al Cap?

2min

Nutrition Is the First Line Therapy in the Management of Alcoholic Hepatitis

3min

10.

Is Nutrition Important for Treatment of Al Cap?

2min

11.

Alcohol Use Disorder Treatment - Is That Enough?

2min

12.

Steroids or Not?

2min

13.

Is There a Time to Prednisone Metric?

3min

14.

What Does a Little Score Really Mean?

3min

15.

Can We Use Naltrexone to Treat Alcohol Use Disorder?

5min

16.

The Key Take Home Messages About Alcohol Use Disorder Care

2min

What tests and history points help with the diagnosis of alcohol-associated hepatitis? What other etiologies should be ruled out? To steroid or not to steroid? What are the medications for alcohol use disorder? Do you make sure your patients have a late night snack? How do you prognosticate?

Show notes, Transcript and References: https://www.coreimpodcast.com/2022/11/09/alcoholic-hepati…5-pearls-segment/

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time stamps

01:42 Intro
04:37 Pearl 1: Diagnosis
13:20 Pearl 2: Differential & Treatment
20:48 Pearl 3: Nutrition & Alcohol Cessation
27:45 Pearl 4: To steroids or to not steroids?!
35:34 Pearl 5: Throwback

Tags: IM Core, CoreIM, ALT, AST, liver abnormalities, gastroenterology, alcohol use disorder, nutrition, MELD, Lille, Steroids, Alcoholic Hepatitis

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