Metabolic dysfunction-associated steatohepatitis (MASH): Difference between revisions
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==Management== | ==Management== | ||
*Treat complications of portal hypertension, if present | *Treat complications of portal hypertension, if present | ||
*Counsel on weight loss, increased coffee consumption | |||
*Vitamin E if known F2 fibrosis | |||
==Disposition== | ==Disposition== | ||
Revision as of 07:10, 18 August 2022
Background
- Fatty liver disease due to causes other than excessive alcohol
- Associated with insulin resistance and metabolic syndrome
Clinical Features
- Often asymptomatic or with mild RUQ discomfort
- Signs of portal hypertension (e.g. ascites) if advanced fibrosis
- Hepatomegaly
Differential Diagnosis
- Cirrhosis
- Hepatitis
- Viral hepatitis
- Autoimmune hepatitis
- Wilson's disease
- Hemochromatosis
- Hepatocellular carcinoma
- CHF (right heart failure]]
Evaluation
Management
- Treat complications of portal hypertension, if present
- Counsel on weight loss, increased coffee consumption
- Vitamin E if known F2 fibrosis
Disposition
- Discharge unless complications