A 60 year old female presents to her family doctor with concerns of right upper quadrant abdominal pain. Patient has not been seen by their family doctor for several years. The patient reports drinking at least 4 standard drinks per day. Her BMI is 45 and she smokes 2 packs a day. Her electronic medical record shows that she has been admitted to the ED 3 times in the past year for alcohol intoxication with a BAC of around 0.36 each time. Her family doctor notes hepatomegaly on examination and decides to run some lab work to start. The patient’s liver enzymes are slightly elevated. What are some likely causes of this patient’s symptoms? How does this condition affect fat metabolism? What is the cause of this condition?

A 60 year old female presents to her family doctor with concerns of right upper quadrant abdominal pain. Patient has not been seen by their family doctor for several years. The patient reports drinking at least 4 standard drinks per day. Her BMI is 45 and she smokes 2 packs a day. Her electronic medical record shows that she has been admitted to the ED 3 times in the past year for alcohol intoxication with a BAC of around 0.36 each time. Her family doctor notes hepatomegaly on examination and decides to run some lab work to start. The patient’s liver enzymes are slightly elevated. What are some likely causes of this patient’s symptoms? How does this condition affect fat metabolism? What is the cause of this condition?