37% of American adults have NAFLD and as many as 70% with T2DM have NAFLD. While usually asymptomatic, NAFLD significantly increases the risk of cardiovascular disease, diabetes and liver disease including cirrhosis and liver cancer. Findings of fatty liver on imaging and/or elevated liver function tests require evaluation for NAFLD. Obese patients, especially those with metabolic issues (hypertension, (pre) diabetes, cardiovascular disease should all be evaluated for NAFLD. Evaluation of NAFLD starts with non-invasive blood test monitoring and measuring liver stiffness. Treatments of NAFLD is multidisciplinary, including weight loss, alcohol evaluation, medications, evaluation and control of metabolic issues, and often referral to hepatologists, cardiologists, endocrinologists, dieticians, and sometimes bariatric surgeons.
History and Physical
Development of a simple noninvasive index to predict significant fibrosis in patients with HIV/HCV coinfection – PubMed (nih.gov)
Screen for Alcohol Use and Abuse
CAGE Screening Tool Calculator
Clinical Care Pathway for the Risk Stratification and Management of Patients with Nonalcoholic Fatty Liver Disease
The Alcohol Use Disorders Identification Test (AUDIT) is a 10-item screening tool developed by the World Health Organization
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