Visceral alcoholic etiology. (1986)

The queue outside the store with alcoholic beverages.

The counter in the store.

A cartoon explaining the effects of alcohol on the internal organs of a person.

More than 10% of patients admitted to therapeutic hospitals have pathology caused by alcohol.

The doctor examines the patient in the intensive care unit.

Among the various visceral pathology caused by alcohol, cirrhosis of the liver has long been known.

Cirrhosis is preceded by a relapse of acute alcoholic hepatitis.

Interview by a doctor of a woman with alcoholism.

Examination of the patient.

Acute alcoholic hepatitis is characterized by jaundice, fever, and hepatomegaly.

The fields of vascular asterisks, Dupuytren's contracture, recurrent giant mumps, gynecomastia testify to alcoholic iteology.

The duration of liver damage is indicated by portal hypertension, ascites, venous dilation not only of the esophagus, but also of the anterior abdominal wall, hepatomegaly.

Interview of the patient.

Blood analysis of the patient.

As a rule, there is an increased activity of transaminases, gamma GT, alkaline phosphatase, hypoproteinemia, sometimes hyperuricemia.

Ultrasound of the liver.

Laparoscopy with targeted liver biopsy.

Characteristic morphological signs of alcoholic iteology of liver damage.

Under the microscope, there is a visible fatty degeneration and, especially, alcoholic hyaline.

Prolonged alcohol abuse leads to the progression of cirrhosis of the liver, in some cases cancer develops.

A doctor examines a patient with hepatoma.

With hepatoma, pronounced cachexia, jaundice, ascites are observed.

Alcoholic liver damage is often combined with acute and chronic pancreatitis.

Interview and examination of the patient.

The active inflammatory process of the pancreas is confirmed by biochemical data.

When examining blood and urine, there is an increased activity of a number of pancreatic enzymes.

Laboratory tests of urine.

The alcoholic nature of any visceral lesion, including pancreatitis, is evidenced by such common signs as a symptom of non-inflammatory injection of conjunctival vessels and venous fullness of retinal vessels, alcoholic facesis, giant mumps.

Interview of the patient.

Ultrasound shows changes in the pancreas.

X-ray examination helps to detect calcifications in the pancreas.

It is the presence of calcifications that indicates the alcoholic nature of pancreatitis.

The systemic nature of alcoholic illness is manifested by kidney damage, most often by the tin of latent nephritis.

Giant mumps, hepatomegaly in combination with edematous syndrome indicate the alcoholic iteology of nephritis.

Analysis of the patient's urine.

The most common hematuric variant of alcoholic nephritis.

Kidney biopsy.

The most common is membranous proliferative nephritis.

Image of kidney tissue under a microscope.

In case of alcoholic illness, the leading one may be a lesion of the cardiovascular system.

Interview of the patient.

The most characteristic lesion of the heart muscle is the so-called alcoholic cardiomyopathy.

The clinical manifestation of alcoholic heart damage can be various variants of arrhythmia.

Atrial fibrillation or signs resembling coronary heart disease.

Echocardiological examination of the heart makes it possible to detect cardiomegaly with dilation of the heart.

X-ray examination confirms pronounced cardiomegaly.

A simple refusal of alcohol is enough and the disease can recede.

Interview of the patient.

The doctor walks through the corridors of the polyclinic.