Alcoholic Liver Disease | Medical Algorithm

Are you evaluating a person with alcoholic liver disease?

Yes

Does the patient have?

• right upper quadrant pain and tenderness?

Yes

• jaundice?

Yes

• hepatomegaly?

Yes

• a history of recent excessive alcohol use?

Yes

• an elevated serum alkaline phosphatase?

Yes

• an elevated serum total bilirubin?

Yes

• evidence of large duct obstruction on imaging studies?

Yes

Does a liver biopsy show?

• steatohepatitis or cirrhosis?

Yes

• bile plugs in canaliculi?

Yes

• variable cholangitis?

Yes

• evidence of large duct obstruction?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings suggesting intrahepatic cholestasis

Number of findings suggesting large duct obstruction

Should intrahepatic cholestasis be considered in this patient?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
Criteria For Diagnosis
- Discriminant Function of Maddrey et al and the Modified Discriminant Function of Carithers et al for Steroid Therapy in Severe Alcoholic Hepatitis
- Criteria for Severe Alcoholic Hepatitis
Severity, Prognosis, Stage
Complications
- Discriminant Function of Maddrey et al and the Modified Discriminant Function of Carithers et al for Steroid Therapy in Severe Alcoholic Hepatitis
Differential Diagnosis And Mimics, Red Flags
- Recognition of Acetaminophen Hepatotoxicity in Chronic Alcoholics
- ANI Model for Evaluating Patient with Steatohepatitis

Therapy

Selection

Monitoring

Disease Progression
- Alcoholic Liver Disease | Combined Clinical & Laboratory Index (CCLI)

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Intrahepatic Cholestasis Associated with Alcoholic Liver Disease

Purpose: To evaluate a patient with alcoholic liver disease for intrahepatic cholestasis.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10