Jaundice or elevated bilirubin - Pennine VTS
Most patients with persistently elevated ALT have fatty liver disease due to alcohol +/- obesity +/- diabetes +/- hyperlipidaemia. STEP 1. Careful alcohol history. If intake > 14u/week encourage the patient to abstain completely. Careful drug history. Stop any medications that may be relevant. Think about causes of fatty liver: diabetes ... ................
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