A 49-year-old man presents with jaundice, dark urine and pruritus. He drinks 40 units of alcohol per week. Examination reveals hepatomegaly. Ultrasoun...

Question

A 49-year-old man presents with jaundice, dark urine and pruritus. He drinks 40 units of alcohol per week. Examination reveals hepatomegaly. Ultrasound shows fatty infiltration with no biliary obstruction. What is the most appropriate initial management?

Accepted Answer

Complete abstinence from alcohol and lifestyle modification

Answer

Immediate liver transplant referral

Answer

Start Prednisolone for presumed autoimmune hepatitis

Answer

Start broad-spectrum antibiotics

Answer

No intervention is needed

uk-plab-1 MCQ (SBA): Alcohol-related fatty liver disease

A 49-year-old man presents with jaundice, dark urine and pruritus. He drinks 40 units of alcohol per week. Examination reveals hepatomegaly. Ultrasound shows fatty infiltration with no biliary obstruction. What is the most appropriate initial management?