NAFLD Flashcards
NAFLD
inc fat in hepatocytes with/out inflammation
outline the progression
steatosis - NASH - firbosis - cirrhosis
what is simple steatosis
just fat
what is NASH
fat and inflammation
histology
oxidative stress injury leads to lipid peroxidation in the presence of fatty infiltration and inflammation results, fibrosis may then occur
what is fibrosis enhanced by
insulin resistance
when would one consier NAFLD
if they drink less than 18 units per week (9 in women)
which individuals does it typically affect
those with metabolic syndrome
5 parts of metabolic syndrome
o Obesity o Hypertension o Diabetes o Hypertriglyceraemia o Hyperlipidaemia
ALT
asymptomatic rise
around 100-150
typical patient
middle aged obese female
treatment
weight loss and exercise
how do we diagnose steatosis
US
how do we diagnose NASH
biopsy