Question

A 54-year-old with type 2 diabetes and incidentally noted hepatic steatosis on ultrasound has AST 28 U/L, ALT 42 U/L, platelets 230,000/µL, age 54. FIB-4 ≈1.0. What is the appropriate next step?

Accepted Answer

Manage metabolic risks and repeat noninvasive fibrosis assessment in 1-2 years

Answer

Refer to hepatology for immediate biopsy

Answer

Start vitamin E supplementation

Answer

Start ursodeoxycholic acid

Answer

Schedule MRI elastography now for all patients with steatosis

Practice question

A 54-year-old with type 2 diabetes and incidentally noted hepatic steatosis on ultrasound has AST 28 U/L, ALT 42 U/L, platelets 230,000/µL, age 54. FIB-4 ≈1.0. What is the appropriate next step?