Gastrointestinal System

Step 1: View Clinicals

{"ops":[{"insert":"A 45-year-old man is referred for further evaluation after a routine health screening revealed several abnormal laboratory test results. He is currently asymptomatic. There is no history of recent weight gain.\n\nHis medical history is only significant for elevated triglyceride levels (~250 mg\/dL) detected two years ago. He was asked to make lifestyle modifications but defaulted on follow-up after just one month.\n\nHe does not smoke, and only drinks socially, generally not more than 1 to 2 units of alcohol each month. He currently leads a sedentary lifestyle. His laboratory results are as follows:\n\nAST: 55 IU\/L (8-48)\nALT: 70 IU\/L (7-55)\nALP, Bilirubin, INR: Within normal limits\nFasting plasma glucose: 120 mg\/dL (70-110)\nTriglycerides: 175 mg\/dL (\u003C150)\nTotal cholesterol, LDL, HDL: within normal limits\nIron studies: within normal limits\nCRP, ESR: within normal limits\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-261_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Ultrasound abdomen
2. Viral hepatitis screen
3. Serum ceruloplasmin levels
4. Liver biopsy

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