SCREENING: Obtain LFT's for patients with high risk factors for NAFLD, defined as A1c > 5.6% and BMI > 30
IF ABNORMAL: Use "Fatty Liver/Elevated Liver Enzyme Referral" smartset to rule out other causes of liver damage.
Use calculator to calculate risk of fibrosis if high suspicion for NAFLD: NAFLD Fibrosis Score
If score > -1.455, refer for fibroscan with "Fatty Liver/Elevated Liver Enzyme Referral" smartset in EPIC.
Patients can walk in to Liver clinic for the test 5 days a week 9am-4pm, on the 8th floor CAM East, or call for an appointment (212-241-7270). Patients should be fasting for 3 hours prior.
If significant fibrosis is seen on Fibroscan, automatic referral to Hepatology will be placed by Fibroscan provider.