Which finding raises concern for fatty liver disease in a child with obesity?

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Multiple Choice

Which finding raises concern for fatty liver disease in a child with obesity?

Explanation:
Elevated liver enzymes signal liver involvement from fatty liver disease in a child with obesity. In pediatric NAFLD, hepatocellular injury raises enzymes like ALT, so an abnormal elevation is a direct clue that the liver is affected. Normal liver enzymes don’t raise concern for fatty liver, and while dyslipidemia can accompany obesity, it isn’t specific to liver fat. A normal ultrasound can miss early steatosis, so it isn’t as reliable for ruling out NAFLD. Thus, elevated liver enzymes is the finding that most clearly raises concern.

Elevated liver enzymes signal liver involvement from fatty liver disease in a child with obesity. In pediatric NAFLD, hepatocellular injury raises enzymes like ALT, so an abnormal elevation is a direct clue that the liver is affected. Normal liver enzymes don’t raise concern for fatty liver, and while dyslipidemia can accompany obesity, it isn’t specific to liver fat. A normal ultrasound can miss early steatosis, so it isn’t as reliable for ruling out NAFLD. Thus, elevated liver enzymes is the finding that most clearly raises concern.

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