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Fenestration of the middle cerebral artery in a patient who presented with transient ischemic attack

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Published 2022 Jul 19.

Initial presentation scenarios warranting GP consultation include: Abnormal liver function tests (elevated ALT, AST, or GGT) detected during blood work or health screening Incidental finding of hepatic steatosis on ultrasound, CT, or MRI performed for other indications Persistent unexplained fatigue, particularly when accompanied by metabolic risk factors Right upper quadrant discomfort or sensation of abdominal fullness Presence of multiple metabolic syndrome components (central obesity, hypertension, dyslipidaemia, impaired glucose regulation) Urgent medical attention is required if symptoms suggest advanced liver disease or acute complications