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- Symptoms βοΈ
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- Popular
- Walk-in
- Injections
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- Emergency medicine
- Endocrinology
- Gastroenterology
- Abdominal pain Hx
- Abdominal pain plan
- Abdominal pain ddx
- Gastroesophageal reflux Hx
- Gastroesophageal reflux Plan
- Dyspepsia Hx
- Dyspepsia plan
- Dyspepsia ddx
- H. Pylori plan
- Acute diarrhea Hx
- Gastroenteritis plan
- Chronic diarrhea Hx
- Chronic diarrhea plan
- Clostridium difficile Plan
- Constipation Hx
- Constipation plan
- Irritable bowel syndrome Hx
- Irritable bowel syndrome plan
- Diverticulitis Hx
- Diverticulitis plan
- Small bowel obstruction Hx
- Small bowel obstruction plan
- Hematochezia Hx
- Hematochezia plan
- Hematochezia ddx
- Hemorrhoid Hx
- Hemorrhoid plan
- Anal fissure Hx
- Anal fissure plan
- Anal pruritus plan
- Celiac disease plan
- LFTs elevation - Hx
- LFTs elevation - ddx
- LFTs elevation - Plan
- Cirrhosis Plan
- Steatohepatitis Plan
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Steatohepatitis Plan
CBC Creatinine electrolytes TSH
ALT AST ALP Bilirubin GGT INR Albumin
Hemoglobin AIC Fasting glucose Lipid profile
Hepatitis B-C serology
Ferritin serum iron TIBC
Antinuclear antibody Smooth muscle antibody Alpha-1-Antitrypsin Ceruloplasmin
Abdominal ultrasound
CT abdomen
MRI abdomen with elastography
Liver biopsy
Lifestyle change (weight loss, healthy diet, exercise, diabetes and hyperlipidemia management)
Restrict alcohol intake
BP control
Gastroenterology referral
Repeat liver transaminases at least every 2 years
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SCORES:
NAFLD fibrosis score
Score less than -1.45 excludes advanced fibrosis while score more than 0.67 suggests advanced liver fibrosis (90% Test Sensitivity)
Consider MR Elastography (or Fibroscan) for Fibrosis Score more than -1.45
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Fibrosis probability score (FIB-4 Index)
Efficacy: Test Sensitivity: 85%, Test Specificity: 65%
Score < 1.45 excludes advanced fibrosis while score > 3.25 suggests advanced liver fibrosis
Consider MR Elastography (or Fibroscan) for Fibrosis Probability Score > 1.45
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