Abnormal LFTs: A Real Patient’s Journey Through NAFLD

My name is Fernando Florido and I am a GP in the United Kingdom. In today’s episode I go through a real-life case of a patient with abnormal Liver Function Tests and non- alcoholic fatty liver disease or NAFLD. I will describe a recommended approach to diagnose and manage them according to guidelines. I am not giving medical advice; this podcast is intended for health care professionals; it is only my interpretation of the guidelines and you must use your clinical judgement.  There is a YouTube version of this and other videos that you can access here: ·      The NICE GP YouTube Channel: NICE GP - YouTube The links to the websites that can calculate these scores are in the episode description:·      The NAFLD Fibrosis Score (NFS) is available at https://www.thecalculator.co/health/NAFLD-Fibrosis-Score-Calculator-969.html ·      The Fibrosis 4 (FIB-4) Score available at https://www.mdcalc.com/calc/2200/fibrosis-4-fib-4-index-liver-fibrosis You can download a summary of the episode here:  ·      Summary of NAFLD patient case: https://1drv.ms/b/s!AiVFJ_Uoigq0mBYIbok6DSu5vTnY?e=2W11Jd
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through TranscriptHello everyone and welcome. My name is Fernando and I am a GP in the United Kingdom. In today’s episode I go through a real-life case of a patient with abnormal Liver Function Tests and non- alcoholic fatty liver disease or NAFLD, describing the recommended approach for its diagnosis and management according to guidelines.By the way, I am not giving medical advice; this is for health care professionals and it is only my interpretation of the various guidelines consulted so you must use your own clinical judgement.If you want to download a summary of the episode, the link is in the episode description. Remember that there is also a YouTube version of these episodes so have a look in the episode description. Right, so let’s get straight into it. Our patient is a 55-year-old man of Hispanic family background who consults you following a routine blood test done one week earlier. This was a repeat blood test because 4 months previously he had been found to have a mildly raised alanine aminotransferase or ALT of 75 (NR 0-55).The results of all his blood tests were normal with the exception of the ALT which was still high at 65. His PMH includes:·      Prediabetes·      Hyperlipidaemia and·      Overweight with a BMI of 27.8His only medication is atorvastatin 20 mg daily for hyperlipidaemia.He denies alcohol excess. In fact, he is teetotal and does not drink alcohol at all. H