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Metabolic-Dysfunction Associated Steatotic Liver Disease


The American Association for the Study of Liver Disease (AASLD) states that MASLD affects over 30% of the global population and is now the primary cause of chronic liver disease. Metabolic dysfunction-associated steatotic liver disease (MASLD) is a major driver of hepatic disease and is associated with numerous conditions seen in primary care, such as prediabetes, type 2 diabetes, obesity, atherosclerosis, and dyslipidemia. Hepatic disease associated with MASLD exists on a spectrum and can progress to liver fibrosis, cirrhosis, and even hepatocellular carcinoma. Nomenclature of this condition, previously known as non-alcoholic fatty liver disease (NAFLD), has recently been revised.  This presentation will review the updated terminology, as well as review guidelines and recommendations that exist to help with screening, identification, monitoring, referral indications, and treatment of this disease.

 

Following the completion of this lecture, the participant will be able to:

 

  1. Recognize updated terminology for liver steatosis
  2. Identify patient populations being recommended for MASLD screening
  3. Recall diagnostic criteria for MASLD
  4. Understand how to utilize the FIB-4 risk score calculator to assess for advanced fibrosis in those with MASLD
  5. Recall indications for second-line testing to evaluate liver fibrosis, such as transient elastography
  6. Identify indications for referral to a liver specialist in patients with MASLD
  7. Identify complications of MASLD and the spectrum of hepatic disease

 

Hilary Lois, DO

Dr. Hilary Lois graduated from the Edward Via College of Osteopathic Medicine in 2009 and completed her Family Medicine residency at LewisGale Hospital Montgomery in 2012. She is currently employed by VCOM as Associate Professor of Family Medicine & Osteopathic Manipulative Medicine and Clinical Medicine Course Director and at Schiffert Health Center at Virginia Tech as a Staff Physician. Dr. Lois has been involved in educating VCOM medical students in both the lecture halls and procedural skills labs, and as a table trainer in osteopathic manipulation lab. Her instructional content spans a wide range of systems, including primary care, neurology, cardiology, gastroenterology, nephrology, endocrinology, hematology, and dermatology. Being on faculty at VCOM also allows her to support osteopathic medical students in various research and case-based endeavors. She has earned awards from her learners, such as “Family Medicine Teacher of the Year” and “Altruistic Teacher of the Block,” for her teaching in undergraduate and graduate medical education and has twice been voted “Best in the New River Valley” in the Family Medicine Physician category by readers of the Roanoke Times newspaper.

Disclosures: None


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