pathophysiology
insulin receptors are less responsive
increased fat storage and decreased fatty acid oxidation
steatosis
increased syntheiss and uptake of free fatty acids
causing fat droplets to form in hepatocytes
what might happen to hepatocyes
theyll swell and push nuclei to the edge of the cell
what does the liver look like
large
soft
yellow and greasy
steatohepatitis
steatosis plus inflammatio.
action of stellate cells in chronic
lay down fibrotic tissue
non alcoholic lab results
increased alt more than ast
alcoholic lab results
more raised ast than alt
investigations
ultrasound, ct or mri to look for fatty infiltrates
how to confirm diagnosis and assess severity
biopsy