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Mallory–Weiss syndrome is a condition where high intra-abdominal pressures causes laceration and bleeding of the mucosa called Mallory-Weiss tears. [1] Additionally, Mallory–Weiss syndrome is one of the most common causes of acute upper gastrointestinal bleeding , counting of around 1-15% of all cases in adults and less than 5% in children.
George Kenneth Mallory (February 14, 1900 – April 8, 1986) was an American pathologist chiefly remembered for describing the Mallory–Weiss tear. He was born in Boston , Massachusetts on 14 February 1900, the son of Frank Burr Mallory .
The syndrome is commonly associated with the consumption of excessive food and/or alcohol, as well as eating disorders such as bulimia. [citation needed] The most common anatomical location of the tear in Boerhaave syndrome is at left posterolateral wall of the lower third of the esophagus, 2–3 cm before the stomach. [10]
Abstinence: Stopping further alcohol consumption is the number one factor for recovery in patients with alcoholic hepatitis. [ 16 ] Nutrition Supplementation: Protein and calorie deficiencies are seen frequently in patients with alcoholic hepatitis, and it negatively affects their outcomes.
Hematemesis, in contrast to coffee ground vomitus, suggests that upper gastrointestinal bleeding is more acute or more severe, for example due to a Mallory–Weiss tear, gastric ulcer or Dieulafoy's lesion, or esophageal varices. This condition may be a medical emergency and urgent care may be required. [4] [5] [1]
A randomized, double blind trial published in JAMA in 1994 [5] showed that management for alcohol withdrawal that was guided by the CIWA scale resulted in decreased treatment duration and total use of benzodiazepines. The goal of the CIWA scale is to provide an efficient and objective means of assessing alcohol withdrawal.
The Alcohol Use Disorders Identification Test (AUDIT) is a ten-item questionnaire approved by the World Health Organization to screen patients for hazardous (risky) and harmful alcohol consumption. It was developed from a WHO multi-country collaborative study, [ 1 ] [ 2 ] [ 3 ] the items being selected for the AUDIT being the best performing of ...
Each item is scored on a scale of 0 to 3, giving the evaluation a range of 0 to 45. A score of 1-9 is indicative of a low dependence on alcohol, a score of 10-19 is indicative of a moderate dependence on alcohol, and a score of 20 or greater is indicative of a high dependence on alcohol. [2]