Sandbox:Gunnam: Difference between revisions
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== | __NOTOC__ | ||
=Nonalcoholic fatty liver disease= | |||
* {{CMG}}; {{AE}}{{VKG}} | |||
==Diagnosis== | |||
{{Family tree/start}} | |||
{{Family tree ||| | A01 | | | |A01= Incidental finding of Fatty liver on ultrasound}} | |||
{{Family tree | | | | |!| | | | | }} | |||
{{Family tree ||| | A01 | | | |A01= Check for persistently raised LFTs}} | |||
{{Family tree | | | | |!| | | | | }} | |||
{{Family tree || | | B01 | | | |B01= Ask the patient for significant alcohol intake}} | |||
{{Family tree | |,|-|-|^|-|-|.| | }} | |||
{{Family tree | C01 | | | | C02| |C01= NO| C02= YES}} | |||
{{familytree | |!| | | | | |!| | | | | | | | | | }} | |||
{{Family tree | D01 | | | | D02 |D01= Diagnose NAFLD| D02= Consider other<br> alcoholic related diseases}} | |||
{{Family tree/end}} | |||
'''Monitor severity of the disease''' | |||
{{Family tree/start}} | |||
{{Family tree | | | | | | A01 | | | |A01= Offer Enhanced Liver Fibrosis Test (ELF)}} | |||
{{Family tree | | | | | | |!| | | | | }} | |||
{{Family tree | | | |,|-|-|^|-|-|.| | }} | |||
{{Family tree | | | C01 | | | | C02 |C01= (>10.51) ELF Positive| C02= (<10.51) ELF Negative}} | |||
{{Family tree | | | |!| | | | | |!| | }} | |||
{{Family tree | | | D01 | | | | D02 |D01= Indicating advanced fibrosis and risk of progression to cirrhosis| D02= Typically Benign -- Advanced fibrosis unlikely}} | |||
{{Family tree | | | |!| | | | | | | | }} | |||
{{Family tree | | | E01 | | | | |E01= Refer the patient to Heptologist}} | |||
{{Family tree/end}} | |||
* On negative ELF test offer retest for every 3 years for adults and 2 years for children. | |||
Latest revision as of 15:04, 18 December 2017
Nonalcoholic fatty liver disease
- Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Diagnosis
| Incidental finding of Fatty liver on ultrasound | |||||||||||||||||||||||||||||||||||
| Check for persistently raised LFTs | |||||||||||||||||||||||||||||||||||
| Ask the patient for significant alcohol intake | |||||||||||||||||||||||||||||||||||
| NO | YES | ||||||||||||||||||||||||||||||||||
| Diagnose NAFLD | Consider other alcoholic related diseases | ||||||||||||||||||||||||||||||||||
Monitor severity of the disease
| Offer Enhanced Liver Fibrosis Test (ELF) | |||||||||||||||||||||||
| (>10.51) ELF Positive | (<10.51) ELF Negative | ||||||||||||||||||||||
| Indicating advanced fibrosis and risk of progression to cirrhosis | Typically Benign -- Advanced fibrosis unlikely | ||||||||||||||||||||||
| Refer the patient to Heptologist | |||||||||||||||||||||||
- On negative ELF test offer retest for every 3 years for adults and 2 years for children.