MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 55-year-old patient with diabetes has ultrasound-detected steatosis and mildly elevated aminotransferases. There is no jaundice or pain. He assumes the small elevation means his liver is safe.
Which assumption needs correction?
Aminotransferase levels do not measure fibrosis stage. Consider alternative causes of steatosis, document cardiometabolic risk and assess fibrosis through the appropriate pathway. Care should address liver risk and comorbidities, rather than merely waiting for normal blood tests.