Non-Alcoholic Fatty Liver Disease
Evaluation and management of fatty liver disease including metabolic dysfunction-associated steatotic liver disease, with weight loss support, dietary counseling, diabetes management, and monitoring for disease progression to inflammation or fibrosis.
Cirrhosis and Decompensation
Comprehensive care for cirrhosis including monitoring for complications such as ascites, hepatic encephalopathy, variceal bleeding, and hepatocellular carcinoma, with medication management, endoscopic surveillance, and transplant evaluation when appropriate.
Viral Hepatitis B and C
Diagnosis, staging, and treatment of chronic hepatitis B and C infections with antiviral therapy, monitoring for treatment response, assessment of liver fibrosis, and surveillance for hepatocellular carcinoma in patients with advanced disease.
Autoimmune Liver Disease
Evaluation and management of autoimmune hepatitis, primary biliary cholangitis, and primary sclerosing cholangitis with immunosuppressive therapy, ursodeoxycholic acid treatment, monitoring for disease activity, and assessment for transplant candidacy.
Elevated Liver Enzymes
Investigation of abnormal liver function tests including elevated ALT, AST, alkaline phosphatase, or bilirubin to identify underlying causes such as fatty liver, viral hepatitis, autoimmune disease, medication toxicity, or metabolic disorders.
Alcoholic Liver Disease
Assessment and treatment of alcohol-related liver injury including alcoholic hepatitis and cirrhosis, with alcohol cessation support, nutritional counseling, medication management, and monitoring for complications requiring advanced intervention.
Jaundice and Bilirubin Disorders
Evaluation of yellowing of skin or eyes, dark urine, or pale stools to determine the cause of elevated bilirubin, which may indicate liver disease, bile duct obstruction, hemolysis, or genetic conditions such as Gilbert syndrome.
Drug-Induced Liver Injury
Assessment of liver damage caused by medications, supplements, or herbal products, with identification of the offending agent, discontinuation when appropriate, monitoring for recovery, and guidance on safe medication use going forward.
Portal Hypertension Complications
Management of portal hypertension complications including esophageal or gastric varices, ascites, hepatic encephalopathy, and hepatorenal syndrome, with endoscopic therapy, diuretic management, lactulose treatment, and consideration for TIPS procedure or transplant evaluation.
Hepatocellular Carcinoma Surveillance
Regular screening for liver cancer in patients with cirrhosis or chronic hepatitis B using ultrasound and AFP testing every 6 months, with prompt evaluation of suspicious lesions and coordination of multidisciplinary treatment including transplant evaluation when indicated.