BMJ Best Practice Podcast Alcohol-associated liver disease
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Dec 4, 2023 Professor Craig McClain, expert in alcohol-associated liver disease, discusses the diagnosis, management, and complications of this condition. He emphasizes the importance of obtaining a thorough drinking history and using biochemistry tests for diagnosis. Coagulation tests are explored in relation to monitoring the disease. The podcast also addresses common misconceptions and questions about alcohol-associated liver disease, including the harmful effects of underestimating alcohol consumption and the relationship between alcohol and opioids.
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Disease Exists As A Spectrum
- Alcohol-associated liver disease is a spectrum from fatty liver to steatohepatitis, cirrhosis, and cancer.
- Early detection can prevent progression along this spectrum.
Take A Precise Drinking History
- Take a clear drinking history and define a standard drink when assessing patients.
- Use basic biochemical tests (AST, ALT, bilirubin) to support the diagnosis.
Veterans Are Often Frank About Drinking
- Veterans often give frank drinking histories, unlike some other groups.
- Craig McClain notes housewives may underreport due to social stigma.