Case 4: Introduction

History of Present Illness (HPI)


A 63 year old man with a past medical history of hypertension, hyperlipidemia, coronary artery disease, and type 2 diabetes presents to your clinic after being diagnosed with “fatty liver.” He was recently in the Emergency Department with abdominal pain and was noted to have hepatic steatosis on abdominal ultrasound and was given a referral to your office. His abdominal pain has resolved after starting pantoprazole. He denies jaundice, scleral icterus, confusion, fevers, chills, diarrhea, or constipation. His medications include lisinopril, metoprolol, aspirin, metformin, and insulin. He was previously on atorvastatin but his PCP discontinued it after discovering abnormal liver tests. The patient denies prior personal or family history of liver disease. He drinks 1-2 beers on weekends. No IV drug use or smoking.

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