Obese male with Transaminitis
A young male aged 29 years with BMI of 34.6.. Chief Complaints Incidentally found to have raised AST/ALT on routine investigations... Physical Examination Mild Hepatomegaly Management What shd be the approach to this patient and what is the most effective medication for the same
DD Fatty liver due to alcohol, dyslipedemia, prediabetes. Metabolic syndrome , since there is obesity and hyperuricemia. Needs LFT, lipid profile , diabetic profile, viral hepatitis profile , serum insulin ,and liver fibro scan. Rule out HTN Correction of underlying problem, Ursedeoxy choliic acid, hepatoprotectives,
Is he consuming alcohol Alcoholic / Non alcoholic Fatty liver pathology. CT Scan abdomen. Consult Herpetologist.
Obese pt with deranged LFTS ie raised AST /ALT Suggest fatty infiltration liver of gr2 NASH To be evaluated
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