Explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: Which genetic mutations are c

explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

• Which genetic mutations are commonly associated with the disease?
• Why is the patient presenting with the specific symptoms described?
• Discuss the pathophysiological mechanisms of the disease in detail. 
• What do the blood test results tell us about the disease and disease progression? 

Patient is a 45 year old male with history of nonalcoholic fatty liver and metabolic syndrome. The patient is in the clinic for routine follow up after lab work. BMI is 35. He denies any symptoms at the time of the visit. When going over lab work the patient states that he is unclear what any of his diagnoses mean or what led to this. Lab

Pt value

Normal values

A1c

9< 5.7

Glucose

170< 140

ALT

130 7-45

AST

71 8-48

TSH

4.9  0.5-5.0

Questions to answer in the discussion –

Explain the pathophysiology of the patient disease process.

Explain the genetics and potential cellular alterations related to the patient’s disorders

Explain the risk factors that can lead to metabolic syndrome.  

 You must use current evidence-based resources (Primary and secondary) to support your initial posting and all responses to your colleagues.