November 28, 2022

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How to check fatty liver?

How to check fatty liver?

How to check fatty liver?  The most common examination is B ultrasound. Fatty liver is actually based on liver cells caused by abnormal fat metabolism.

How to check fatty liver?  The most common examination is B ultrasound.

Fatty liver is actually based on liver cells caused by abnormal fat metabolism. This type of disease with excessive fat accumulation is a common clinical pathological change of the liver. So we are in clinical diagnosis, it is mainly based on some indirect symptoms to check. The most common examination is B-ultrasound, which is more sensitive to the detection of fatty liver. There is also CT MRI. NCT can see the liver density.

The general CT is only reduced. We even say that it can be compared with the spleen. Its CT value can even become negative. MRI can also perform fat Diagnosis of liver. Of course, if the fatty liver is more serious, laboratory tests can also be used as support. Laboratory tests can show changes in alanine aminotransferase or aspartate aminotransferase. In general, fatty liver is a relatively mild increase.

Mainly based on the basic value reaching twice or more, based on the general value is less than five times or less. Patients should eat a high-protein, high-vitamin, low-sugar, and low-fat diet in their daily lives. Avoid or eat less animal fats and sweets. Eat more vegetables, fruits and cellulose-rich foods, as well as high-protein lean meat, river fish, soy products, etc., to control the disease.

 

Fatty liver is generally divided into two categories: alcoholic fatty liver and non-alcoholic fatty liver. According to the extent of liver involvement, steatosis can be divided into three types: light, medium, and heavy. Usually, when the fat content exceeds 5% to 10% of the liver weight, it is regarded as mild fatty liver, and more than 10% to 25% is considered to be moderate. Grade fatty liver, more than 25% are severe fatty liver.

The clinical manifestations of fatty liver are diverse. Mild fatty liver is mostly asymptomatic, and more patients are found accidentally during physical examination. Fatigue is the most common subjective symptom in patients with fatty liver, but it has no correlation with the severity of histological damage. Moderate and severe fatty liver have similar manifestations of chronic hepatitis, including loss of appetite, fatigue, nausea, vomiting, and dull pain in the liver area or right upper abdomen.

When the fat deposits in the liver are too much, the liver capsule can be swollen and the liver ligaments can be stretched, causing severe pain or tenderness in the right upper abdomen, fever, and increased white blood cell count. It is misdiagnosed as an acute abdomen for laparotomy.

In addition, patients with fatty liver often have changes in peripheral neuritis such as glossitis, angular cheilitis, skin ecchymosis, numbness of the limbs, and paresthesia of the limbs. A small number of patients may also have gastrointestinal bleeding, bleeding gums, epistaxis and so on.

Patients with severe fatty liver can have ascites and lower limb edema, electrolyte disturbances such as hyponatremia, hypokalemia, etc. Fatty liver has various manifestations. When the diagnosis is difficult, liver biopsy can be used to confirm the diagnosis.

 

(source:internet, reference only)


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