Alcoholic hepatitis screening

Patients with excessive alcohol intake requires screening for alcohol use with AUDIT questionnaire. If the score is above 8, Alcohol use disorder is diagnosed and patient requires further evaluation by performing liver test and liver ultrasound.

• Patients with excessive alcohol intake requires screening for alcohol use with AUDIT questionnaire:^[1]
  • If AUDIT score ≤ 8:
    • Patient doesn’t have alcohol use disorder
  • If AUDIT> 8:
    • Alcohol use disorder is diagnosed
      • Check liver test; if abnormal:
        • Refer to alcohol addiction specialist
        • Refer to GI specialist/ hepatologist
          • Non-invasive diagnostic tests are recommended such as Liver Ultrasound:
            • No sign of hepatitis or mild hepatitis; Follow up with primary care is suggested
            • Advance fibrosis or cirrhosis; consider endoscopy and screening hepatic cellular carcinoma

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