1.
Chief complaint
(1) Jaundice (2) Nausea, Vomiting, Diarrhea
(3) RUQ, epigastric pain (4) Pruritus
(5) Inappropriate bruising 또는 bleeding (6) Altered mental status
2.
Ingestion : 타이레놀, 버섯, 생굴
3.
High risk medication
(1) Vit A (2) Isoniazid (3) Proplthiouracil
(4) Phenytoin (5) Valproate (6) Herb
4.
PMHx : 만성 간염 / 수혈 / HIV / 잦은 진통제 사용 / Depression
•
T2DM, 고지혈증은 NAFLD의 위험인자
1.
Social history
(1) IV drug use (2) Chronic alcoholic (3) Sexual promiscuity
(4) Travel to country with endemic parasitic liver diseases
2.
ROS
(1) Weight loss (end stage liver disease) (2) White(acholic) stools
(3) Brown or tea-colored urine(cholestasis) (4) Melena
(5) Yellow skin (6) General weakness
(7) Dyspnea(ascites) (8) Lower extremity edema
(9) Near-syncope
3.
P/Ex
(1) Liver enlargement (2) Extremity muscle atrophy
(3) Dupuytren's contracture (4) Palmar erythema
(5) Cutaneous spide nevi (6) Caput medusae
(7) Asterixis (flapping tremor)
