In this episode:

• GPs must give all patients with abnormal LFTs a positive diagnosis
• Use ALT levels of 19 for women and 30 for men and investigate all who are higher
• Triage at the GP level consists of calculators stratifying cirrhosis risk (links attached) where negative or very low numbers are of greatest value
• Those with moderate to higher risks should have degree of fibrosis assessed with a fibroscan
• A fibroscan result > 8.5 should alert us to refer to a hepatologist or liver clinic, equates to moderate fibrosis
• Uncomplicated MAFLD compels us to treat all CVD risk factors aggressively

Host: Dr David Lim, GP

Guest: A/Prof Simone Strasser, Hepatologist

Total time: 46 mins

Recommended resources:

Examples of calculators for:

• NAFLD Fibrosis Score (NFS)
• APRI Score
• FIB-4 Score