GM 1st Internal paper
Pre final OSCE and Learning points
The case allotted to me one day before the exam is presented in the following log which can be found here https://126singareddymanasa.blogspot.com/2023/12/a-65-year-old-male-with-dka-with.html OSCE 1) Can diabetes cause Fatty liver, if yes how? Yes, Diabetes can cause fatty liver. Non-alcoholic fatty liver disease (NAFLD) is highly prevalent in type 2 diabetes mellitus. The pathogenesis of NAFLD is not yet fully understood, but insulin resistance appears to be a critical contributing factor with obesity as the most common cause of the insulin resistant. As body fat stores expand with excess calories and progressive obesity, alterations in lipid metabolism along with inflammation in adipose tissue and ectopic sites of fat deposition lead to insulin resistance. Insulin resistance leads to increased its accumulation in body. This excess insulin increases lipolysis and increases the production of free fatty acids. The surplus amount of fatty acid...
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