Recorded as standard drinks per day or week.

• A standard drink (17 grams of alcohol) is defined as:

  • one 12 oz. (341 ml) bottle or glass of beer (5% alcohol)
  • one 1.5 oz. (43 ml) shot of liquor (40% alcohol)
  • one 5 oz. (142 ml) glass of wine (12% alcohol)

• There is a continuum of risk associated with weekly alcohol use where the risk of harm is:

Addiction, Toxication, Withdrawal

Alcohol Use Disorder

!Alcohol Withdrawal (5 dy)

Alcohol Intox

Complications

• AFLD - Alcoholic Fatty Liver Disease, Cirrhosis
  • Liver Enzymes
    • Hepatitis pattern
    • ALT (< 40) ! mildly elevated
    • AST (< 40) > + ALT (< 40) ! in a 2:1 ration
• Malignancy
  • Breast cancer
  • CRC - Colorectal cancer
  • Upper GI Tract (mouth - esopahgus)
  • Liver cancer
• Brain
  • !Stroke (CVA), !Seizure
  • Ataxia
  • Thiamine B1 Deficiency → Wernicke-korsakoff Syndrome

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Seperate alcohol use (as rf) and alcohol use (as cause) and alcohol (as substance)

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