Tagged: Alcohol

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Alcohol induced hypoglycemia

Case details A known alcoholic is found lying semiconscious at the bottom of a stairwell with a broken arm by his landlady, who called an ambulance to take him to the emergency room. Initial laboratory studies showed are relatively large anion gap of 34 (normal = 9 to 15). His blood alcohol was elevated at 245 mg/dL (intoxication level = 150 to 300 mg/dL), and his blood glucose was 38 mg/dL (low normal). The patient/s large anion gap and hypoglycemia can best be explained by which of the following? A. Decreased secretion of glucagon B. Increased secretion of insulin C....

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Answer- Case study- Chronic Alcoholism- A 75-year-old chronic alcoholic presents to the emergency room…

A 75-year-old chronic alcoholic presents to the emergency room after being found on the rail road tracks passed out. On examination, he is found to have a distended abdomen that is equivalent in size to a full term pregnant woman’s belly. Which of the following functions of the liver has been compromised to cause this finding? A. Lipid metabolism B. Albumin synthesis C. Bilirubin metabolism D. Alcohol detoxification E. Decreased production of coagulation factors Answer- The right answer is B- Albumin synthesis. The patient has alcoholic liver disease. Excessive alcohol intake can lead to fatty liver, hepatitis, and cirrhosis (figure)....

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