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Non Liver Disease Case Study Essay

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Non-Alcoholic Fatty Liver Disease: A Case Study
Introduction
The case study involves Andrew Lincoln who is a overweight 23 year old caucasian male, who has returned home over winter break after being away at college. While at school Mr. Lincoln works part-time at a pizza parlor to decrease his financial burden. During his free time while at college Andrew is minimally active and prefers to play video games over doing strenuous physical activities. Mr. Lincoln presents to his primary provider for an physical after a 4 years hiatus while being away at college. He has no significant past medical history and was only was hospitalized when he fell and broke his leg as a child. He currently has no physical complaints but has noticed over the last year his stool has become yellow tinged and his flatulence has become very …show more content…
Estimates of NAFLD occurrence vary between 20 and 30%, rising up to 90% in morbidly obese individuals (Dowman et al., 2009). Prolonged NAFLD may lead to irreversible liver damage, which is a medical emergency. Being aware of NAFLD and the complex multi-hit pathophysiology is critical to appropriately caring for these patients in the hospital setting. NAFLD patients who are at risk must be identified when hospitalized and require an individualized plan of care due to their altered hepatic metabolism. Patients that are at risk for developing NAFLD include those with a history of gastric bypass surgery, high cholesterol, elevated triglycerides and type-2 diabetes (Dowman et al., 2009). Patients identified with NAFLD need to be treated early to prevent inflammation and cirrhosis of the liver. Roughly 10%-29% of patients with NAFLD will develop some type of cirrhosis within 10 years. (Hassan, Bhalla, Ezz El Regal, & A-Kader, 2014)
Review of Pathophysiology of

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