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Alcoho1l Talk

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The document discusses alcohol withdrawal and alcoholic hepatitis. It notes that over 300,000 people in the UK have alcohol-related problems. Symptoms of alcohol withdrawal can begin within 12 hours and include agitation, nausea, and sweating. Delirium tremens can occur within 48 hours and is characterized by disorientation, agitation, and hallucinations. Treatment for alcohol withdrawal and hepatitis includes vitamins, fluids, antibiotics if needed, and benzodiazepines. Corticosteroids have shown benefits for severe alcoholic hepatitis defined as a Maddrey score over 32, reducing mortality rates. A pilot study combining corticosteroids and infliximab showed improvements in outcomes.

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The Treatment of Alcohol Withdrawal and Alcoholic Hepatitis Dr R J Warner SpR to Dr Summerton
 
The extent of the problem 1 ,[object Object],[object Object],[object Object]
The extent of the problem 2 ,[object Object],[object Object],[object Object],[object Object]
The extent of the problem 3 ,[object Object],[object Object],[object Object],[object Object]
Percentage of adults with excess alcohol consumption
Symptoms of withdrawal within 12 hours ,[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms of withdrawal within 48 hours ,[object Object],[object Object],[object Object],[object Object]
Alcohol withdrawal after 24 hours- Delirium Tremens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis for the Alcoholic Patient ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management of alcohol withdrawal ,[object Object],[object Object],[object Object],[object Object]
General alcohol withdrawal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alcoholic Seizures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DTs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Alcoholic Hepatitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mortality for alcoholic hepatitis ,[object Object],[object Object],[object Object],[object Object]
Treatment of alcoholic hepatitis 1 ,[object Object],[object Object],[object Object],[object Object]
Treatment of alcoholic hepatitis 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of alcoholic hepatitis 3 ,[object Object],[object Object],[object Object],[object Object]
Treatment of alcoholic hepatitis 4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The debate about corticosteroids 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
The debate about corticosteroids 2 ,[object Object],[object Object],[object Object],[object Object]
Maddrey’s formula ,[object Object],[object Object],[object Object]
The debate about corticosteroids 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Use of steroids with infliximab 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maddrey’s score
Serum bilirubin
Interleukins
Conclusions from the study ,[object Object],[object Object],[object Object],[object Object]
The last slide! ,[object Object],[object Object],[object Object],[object Object]

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