Difference between revisions of "Ethanol abuse"

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'''Ethanol abuse''' is the excessive consumption of ethyl alcohol ''or'' ethanol.  
[[Image:The wine is a mocker 1663-1664 Jan Steen.jpg|thumb|A depiction of acute intoxication. ([[Wikipedia:Jan Steen|Jan Steen]])]]
'''Ethanol abuse''' is the excessive consumption of ethyl alcohol ''or'' ethanol.


In common usage, ''alcohol'' is used as a synonym for ''ethanol'', which is abbreviated ''EtOH''. '''Alcohol abuse''' causes varies medical problems.
In common usage, ''alcohol'' is used as a synonym for ''ethanol'', which is abbreviated ''EtOH''. '''Alcohol abuse''' causes a large number of medical problems. It includes both acute and chronic problems, and affects a multitude of systems.


In pathology, ''alcohol'' may refer to the [[fixation|fixative]]; it is a chemical used to preserve tissue.
In pathology, ''alcohol'' may refer to the [[fixation|fixative]]; it is a chemical used to preserve tissue.
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===Toxicity===
===Toxicity===
:See ''[[ethanol toxicity]]''.
Acute toxicity is discussed in the section ''[[ethanol toxicity]]''.


===Pathology associated with alcohol===
===Pathology associated with alcohol===
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**[[Liver steatosis]], macrovesicular and centrilobular.
**[[Liver steatosis]], macrovesicular and centrilobular.
**[[Cirrhosis]], micronodular.
**[[Cirrhosis]], micronodular.
***[[Hepatocellular carcinoma]].


Pancreas:
Pancreas:
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*[[Marchiafava-Bignami Disease]].
*[[Marchiafava-Bignami Disease]].
*[[Wernicke's encephalopathy]].
*[[Wernicke's encephalopathy]].
*[[Intracranial haemorrhage]] - due to trauma arising from drunkenness.  
*[[Intracranial haemorrhage]] - due to trauma arising from drunkenness.
*[[Blunt force trauma]] - accidental.
*[[Choking]] - increased risk with acute intoxication.
*[[Dementia]].
*[[Dementia]].


Cardiovascular:
Cardiovascular:
*[[Hypertension]].
*[[Hypertension]].
*[[Dilated cardiomyopathy]].
*[[Atrial fibrillation]].
*[[Atrial fibrillation]].



Latest revision as of 05:52, 9 January 2015

A depiction of acute intoxication. (Jan Steen)

Ethanol abuse is the excessive consumption of ethyl alcohol or ethanol.

In common usage, alcohol is used as a synonym for ethanol, which is abbreviated EtOH. Alcohol abuse causes a large number of medical problems. It includes both acute and chronic problems, and affects a multitude of systems.

In pathology, alcohol may refer to the fixative; it is a chemical used to preserve tissue.

General

  • Very common.

Classic lab findings in alcohol abusers

  • AST & ALT elevated with AST:ALT=2:1.
  • GGT elevated.
  • MCV increased.

Toxicity

Acute toxicity is discussed in the section ethanol toxicity.

Pathology associated with alcohol

Head & neck:

Luminal GI tract:

Liver:

Pancreas:

CNS:

Cardiovascular:

Respiratory:

See also