Screening for Liver Disease:The work-up and diagnosis of acute and chronic liver disease
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Screening for Liver Disease:The work-up and diagnosis of acute and chronic liver disease

Consider Liver Disease Testing
• All patients with metabolic syndrome
   –Test for NASH and hemochromatosis
• Patients with risk history, high risk sex or drug use, HCV HBV HIV
• Immigrant populations; HBV HCV
• Birth cohort: HCV
• All adults: HCV
• Psychiatric  disorders: Wilson Disease
• Lung disease: Alpha-1
• Autoimmune disease? Do AIH work up

Mandatory Liver Disease testing
• Jaundiced patient
• Large liver on physical exam
• Signs of cirrhosis/CLD
• Abnormal liver imaging
• History or current of abnormal liver tests
• RUQ pain
• Family history of liver disease

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