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A 67-year-old man is incidentally found to have an elevatedALT

67 years old | Male

Vignette:

A 67-year-old man is incidentally found to have an elevatedALTof129iU/Lathisannualdiabetic check-up. He has a body mass index of 32 kg/m2 and is being treated for hypercholesterolaemia

Summary:

elevated ALT | obesity | hypercholesterolaemia | diabetic

Dx:

Non-alcoholic fatty liver disease

Ref:

ccu hepatology EMQ 6.1 page 176

Rank

Disease

Weight

1 Stable ischemic heart disease 307.0
2 Non-alcoholic Fatty Liver Disease 293.0
3 Hepatocellular carcinoma 257.0
4 ST-elevation myocardial infarction 253.0
5 Primary biliary cirrhosis 241.0
6 Hypertriglyceridemia 230.0
7 Non-ST-elevation myocardial infarction 229.0
8 Gallstone pancreatitis 228.0
9 Chronic atrial fibrillation 223.0
10 Kidney stones 219.0
11 Eclampsia 215.0
12 Biliary cirrhosis 207.0
13 Type 2 Diabetes mellitus 202.0
14 Erectile dysfunction 192.0
15 Primary sclerosing cholangitis 191.0
16 Prinzmetal angina 190.0
17 Chronic Hepatitis 182.0
18 Chronic Kidney Diseases 182.0
19 Gout 182.0
20 Colorectal cancer 180.0
21 Liver Cirrhosis 178.0
22 Preeclampsia 178.0
23 Choledocholithiasis 175.0
24 Obstructive Sleep Apnea 174.0
25 Ischemic stroke 166.0
26 Adrenocortical carcinoma 159.0
27 Achilles tendinopathy 156.0
28 Achilles tendon rupture 156.0
29 Stroke 151.0
30 Analgesic nephropathy 136.0
31 Aortic Dissection 134.0
32 Deep venous thrombosis 130.0
33 Androgenetic alopecia 130.0
34 Diabetic Amyotrophy 130.0
35 Abnormal uterine bleeding 129.0
36 Acute Pancreatitis 128.0
37 Endometrial cancer 128.0
38 Migraine headache in adults 126.0
39 Autosomal Recessive Polycystic Kidney Disease 125.0
40 Hepatic Encephalopathy 124.0
41 Acute intermittent porphyria 123.0
42 Amebic Liver Abscess 122.0
43 Gallbladder cancer 121.0
44 Common cutaneous drug reactions 120.0
45 Renal Cell Carcinoma 118.0
46 Thrombotic thrombocytopenic purpura 118.0
47 Papilledema 117.0
48 Acute Cholecystitis 116.0
49 Gallstones 113.0
50 Intrahepatic Cholestasis 112.0
51 Diabetic Ketoacidosis 110.0
52 Cushing syndrome 109.0
53 Acute Liver Failure 106.0
54 Hemolytic uremic syndrome 106.0
55 Chronic heart failure 106.0
56 Autoimmune hepatitis 105.0
57 Acute fatty liver of pregnancy 103.0
58 Candidal intertrigo 102.0
59 Polyarteritis nodosa 102.0
60 Hiatus hernia 101.0
61 Liver Abscess 101.0
62 Intra-abdominal abscess 101.0
63 Carpal Tunnel Syndrome 100.0
64 Balanitis 100.0
65 Secondary hypogonadism 100.0
66 Cellulitis 100.0
67 Open Angle Glaucoma 100.0
68 anterior ischemic optic neuropathy 100.0
69 Peyronie Disease 100.0
70 Emphysematous cholecystitis 98.0
71 Rheumatoid Arthritis 98.0
72 pancreatic cancer 97.0
73 Extrahepatic Cholestasis 96.0
74 Hereditary hemochromatosis 96.0
75 Klebsiella pneumoniae liver abscess 95.0
76 Kawasaki disease 95.0
77 Breast Cancer 95.0
78 Central retinal artery occlusion 94.0
79 Alcoholic Fatty Liver 91.0
80 Dermatophyte infections 91.0
81 Aortic coarctation 91.0
82 Osteoporosis 90.0
83 Hepatorenal Syndrome 89.0
84 Menopause 89.0
85 Food poisoning 87.0
86 Non-diabetic hypoglycemia 85.0
87 Acute Cholangitis 84.0
88 Stable angina 84.0
89 chronic acalculous cholecystitis 83.0
90 Cholestasis 83.0
91 Familial Mediterranean fever 83.0
92 Psoas Abscess 83.0
93 Varicose veins 83.0
94 Hyperparathyroidism 82.0
95 Diabetic Neuropathy 82.0
96 Alcoholic hepatitis 80.0
97 Infectious mononucleosis 80.0
98 Gastroesophageal reflux disease 80.0
99 Osteoarthritis 80.0
100 Transient ischemic attack 79.0
101 Gestational diabetes mellitus 78.0
102 Diabetes Mellitus 78.0
103 Acromegaly 77.0
104 Pneumonia 77.0
105 Chronic Lymphocytic Leukemia 76.0
106 Renal Artery Stenosis 76.0
107 Autoimmune Pancreatitis 75.0
108 Henoch-Schonlein purpura 75.0
109 Sarcoidosis 74.0
110 Urinary Tract Obstruction 74.0
111 Multiple Myeloma 74.0
112 Cataract 72.0
113 Acute Hepatitis 71.0
114 Hyperthyroidism 71.0
115 Pyogenic Liver Abscess 70.0
116 Leiomyomas 70.0
117 Tetanus 70.0
118 Ovarian and fallopian tube torsion 69.0
119 Autosomal Dominant Polycystic Kidney Disease 69.0
120 Tuberculous Peritonitis 68.0
121 Clostridium difficile infection 68.0
122 Diabetic Kidney Disease 68.0
123 Candida Balanitis 68.0
124 Oropharyngeal and esophageal candidiasis 68.0
125 Vulvovaginal candidiasis 68.0
126 Oral candidiasis 68.0
127 Celiac Disease 66.0
128 Gallbladder Dyskinesia 65.0
129 Hypothyroidism 65.0
130 Gingivitis 64.0
131 Chronic Pancreatitis 63.0
132 Asthma 60.0
133 Gastroparesis 60.0
134 Non-small cell lung cancer 59.0
135 Alzheimer disease 59.0
136 End Stage Renal Disease 59.0
137 Renal and perinephric abscess 58.0
138 Hypercalcemia 57.0
139 Acne vulgaris 56.0
140 Acne fulminans 56.0
141 Acne conglobata 56.0
142 Gram-negative folliculitis 56.0
143 Excoriated acne 56.0
144 Glomerulonephritis 56.0
145 biliary SOD 55.0
146 Graves ophthalmopathy 55.0
147 Graves Disease 54.0
148 Intrahepatic cholestasis of pregnancy 54.0
149 Benign Prostatic Hyperplasia 54.0
150 Acute heart failure 53.0
151 Guillain-Barre syndrome 53.0
152 Umbilical hernia 53.0
153 Cystic Fibrosis 52.0
154 Acetaminophen overdose 52.0
155 Mesenteric ischemia 52.0
156 Amphetamine use disorder 52.0
157 Influenza 51.0
158 Bell palsy 50.0
159 Malaria 50.0
160 Atypical pneumonia 50.0
161 Psoriasis 50.0
162 Osteomalacia 50.0
163 Primary hypogonadism 50.0
164 Chronic pyelonephritis 50.0
165 Priapism 50.0
166 Ischemic optic neuropathy 50.0
167 posteriorischemic optic neuropathy 50.0
168 Dry eye 50.0
169 Labyrinthitis 50.0
170 Salmonella infection 50.0
171 COPD Exacerbation 50.0
172 Acute pyelonephritis in adults 50.0
173 Animal bites 50.0
174 Acute bacterial meningitis in adults 50.0
175 Insomnia in adults 50.0
176 Lung Cancer 48.0
177 Ankylosing spondylitis 48.0
178 Sialadenitis 47.0
179 Wilson disease 46.0
180 Xanthelasma 46.0
181 Osteomyelitis 46.0
182 Hyperprolactinemia 44.0
183 Simple kidney cyst 44.0
184 Hyperaldosteronism 43.0
185 Bladder Cancer 43.0
186 Psychogenic polydipsia 43.0
187 Hemorrhagic stroke 42.0
188 Alcoholic Liver Disease 41.0
189 Alcoholic Liver Cirrhosis 41.0
190 Brucellosis 41.0
191 Musculoskeletal lower back pain 41.0
192 Unstable angina 41.0
193 Acute respiratory failure 41.0
194 Acute bacterial meningitis in neonates 40.0
195 Acalculous Cholecystitis 38.0
196 Acute viral meningitis 38.0
197 Anemia of chronic disease 38.0
198 Mitral Stenosis 37.0
199 Systemic lupus erythematosus 36.0
200 Spontaneous bacterial peritonitis 36.0
201 Mirizzi Syndrome 36.0
202 Medullary thyroid cancer 35.0
203 Granulomatosis with polyangiitis 35.0
204 Pulmonary Embolism 34.0
205 Rotator Cuff Tears 34.0
206 Rosacea 34.0
207 Drowning 34.0
208 Candidiasis 34.0
209 Acute Lymphocytic Leukemia in Adults 33.0
210 Secondary hyperparathyroidism 33.0
211 Primary Myelofibrosis 32.0
212 Type 1 Diabetes mellitus 32.0
213 Hereditary Angioedema 31.0
214 Acute atrial fibrillation 31.0
215 Chronic liver disease 31.0
216 Ovarian Hyperstimulation Syndrome 30.0
217 Extraintestinal Entamoeba histolytica amebiasis 30.0
218 Rocky Mountain spotted fever 30.0
219 Discogenic low back pain 30.0
220 Male factor infertility 30.0
221 Amyloidosis 30.0
222 Aortic stenosis 30.0
223 Tinea versicolor 30.0
224 Shigellosis 29.0
225 Acute Myeloid Leukemia in adults 29.0
226 Churg-Strauss Syndrome 29.0
227 Cholangiocarcinoma 28.0
228 Typhoid infection 28.0
229 Painless thyroiditis 28.0
230 Milk-alkali syndrome 28.0
231 Acute Milk-alkali syndrome 28.0
232 Multiple endocrine neoplasia 2B 27.0
233 Prolactinoma 27.0
234 Chronic Myeloid Leukemia 27.0
235 Systemic sclerosis 26.0
236 Toxic thyroid adenoma 26.0
237 Familial adenomatous polyposis syndrome 26.0
238 Acute disseminated encephalomyelitis 26.0
239 chronic biliary obstruction 25.0
240 Anaphylaxis 25.0
241 Cholera 25.0
242 Peutz-Jeghers Syndrome 24.0
243 Heparin-induced thrombocytopenia 24.0
244 Goiter 24.0
245 Diffuse nontoxic goiter 24.0
246 Toxic multinodular goiter 24.0
247 Cervical goiter 24.0
248 Pseudohypoparathyroidism 23.0
249 Tinnitus 23.0
250 Foodborne E coli infection 22.0
251 Obstructive cervical goiters 22.0
252 Crohn Disease 21.0
253 Ulcerative Colitis 20.0
254 pancreatic SOD 20.0
255 Multiple endocrine neoplasia 2A 20.0
256 Hyperosmolar Hyperglycemic state 20.0
257 Intestinal Pseudo Obstruction 20.0
258 Sunburn 20.0
259 Hypoparathyroidism 20.0
260 Pancreatic Pseudocyst 19.0
261 Chronic Cholecystitis 18.0
262 Acute Myeloid Leukemia in children 18.0
263 Achalasia 18.0
264 Central hypothyroidism 18.0
265 Systemic vasculitis 18.0
266 Acute cervical spine trauma 18.0
267 Adrenal Suppression 16.0
268 Adrenal crisis 16.0
269 Ascites 16.0
270 Intussusception 16.0
271 Barrett esophagus 15.0
272 Fibrocystic breasts 15.0
273 Acute Rhinosinusitis 15.0
274 Ichthyosis 15.0
275 Pressure ulcer 15.0
276 Acute viral rhinosinusitis 15.0
277 Acute bacterial rhinosinusitis 15.0
278 Pheochromocytoma 14.0
279 Musculoskeletal sprains and strains 14.0
280 biliary obstruction 14.0
281 Testicular cancer 14.0
282 Acute Clonorchiasis 13.0
283 Acute bacterial meningitis in children 13.0
284 Cryptococcosis 13.0
285 Clonorchiasis 12.0
286 Chronic Clonorchiasis 12.0
287 Annular pancreas 12.0
288 Substernal goiter 12.0
289 Multiple Sclerosis 11.0
290 Fibromyalgia 11.0
291 Campylobacter infection 11.0
292 Acute epididymitis 11.0
293 Gastritis 10.0
294 Chronic bacterial prostatitis 10.0
295 Addison Disease 9.0
296 Acute Renal vein thrombosis 9.0
297 Common cold(adults) 8.0
298 Non-cholera Vibrio infections 8.0
299 Hypogammaglobulinemia 8.0
300 Chronic Milk-alkali syndrome 8.0
301 Anaplastic thyroid cancer 8.0
302 Acute Cystitis(Men) 7.0
303 Cystitis 7.0
304 Urinary tract infection 7.0
305 Acute Cystitis(Women) 7.0
306 Thyroid lymphoma 6.0
307 Pyelonephritis 5.0
308 Acute Bronchitis 5.0
309 Lactose intolerance 5.0
310 Esophagitis 5.0
311 Bacterial pharyngitis 5.0
312 Allergic rhinitis 5.0
313 Bed bugs 5.0
314 Psoriatic arthritis 4.0
315 Paraneoplastic Syndromes 4.0
316 Chlamydia pneumoniae infection 4.0
317 Inflammatory Bowel Diseases 3.0
318 Budd Chiari Syndrome 3.0
319 COVID19 3.0
320 Acute pericarditis 3.0
321 Chronic Renal vein thrombosis 2.0
322 Alopecia areata 1.0
323 Penis Carcinoma 1.0
324 Common cold(children) 1.0
325 Immune thrombocytopenia 0.0
326 Phenylketonuria 0.0
327 Disseminated intravascular coagulation 0.0
328 Stevens-Johnson syndrome 0.0
329 Narcolepsy 0.0
330 Insect bites and stings 0.0
331 Oropharyngeal cancer 0.0
332 Panic disorder in adults 0.0