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patho puzzler Solving the puzzle of nonalcoholic fatty liver disease By Kim McCarron, RN, CRNP, MS Clinical Associate Professor � Towson University � Towson, Md. The majority of nurses regard hepatitis or fatigue, and malaise. This discomfort may be NAFLD is alcoholic cirrhosis as the most common the result of liver inflammation. In advanced becoming more chronic liver disease; however, nonalcoholic cases, you’ll observe jaundice of the skin, common and fatty liver disease (NAFLD) is rapidly becom- sclera, and mucous membranes; ascites; may affect your ing more common than these disorders. gynecomastia (male breast enlargement); Currently, NAFLD affects about 90 million spider angiomas; and possibly asterixis (a patient. Americans, or 30% of the U.S. population. It tremor of the wrist when it’s extended, also strikes men, women, and children, and all known as a flapping tremor). ethnicities are affected. NAFLD in its minor How’s NAFLD diagnosed? form produces few symptoms and is fairly Q: A complete history and physical benign, but it can develop into a more serious A: form known as steatohepatitis (inflamma- exam are essential. Often, a diagnosis of tion), which can progress over time to cirrho- NAFLD is suspected when a person has sis and even
Nursing Made Incredibly Easy! – Wolters Kluwer Health
Published: Nov 1, 2009
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