Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle-aged man, while asymptomatic, demonstrates several concerning physical examination findings and investigation results.\n \nHe is obese, shows an elevated waist-to-hip ratio, and is hypertensive. Investigations show persistent hypertriglyceridemia, as well as impaired fasting glucose (i.e. diabetes). These findings fulfill four of the five criteria for metabolic syndrome, allowing us to diagnose this condition.\n \nLast but not least, his liver profile shows elevated liver transaminases. In this context, nonalcoholic fatty liver disease (NAFLD) is a strong consideration. This is supported by the ultrasound scan of the abdomen, which shows features of hepatic steatosis.\n \nSignificant alcohol consumption is another cause of elevated li"}]}

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