A woman comes in for her annual physical, and she has no concerns. She recently went to the urgent care with epigastric pain and an upper abdominal ultrasound was normal except for the finding of a fatty liver. She was diagnosed with gastroesophageal reflux disease and prescribed an antacid. She denies further episodes of reflux after taking the antacids for 2 weeks. She is a nonsmoker and has one glass of red wine about 5 times a week. Her past medical includes hypertension, which is well controlled and type 2 diabetes mellitus for which she takes metformin and insulin. She has a history of gout and her last flare was 1 year ago. Her physical examination is unremarkable except for a BMI of 35. What are likely reasons for the fatty liver?

Question

Quizplus · Accepted Answer

Fatty liver is commonly associated with obesity (high BMI) and type 2 diabetes mellitus, both of which are present in this patient.

A Woman Comes in for Her Annual Physical, and She