صباح الفل زياده الوعى بالكبد الدهنى فى الاطفال مهم جدا قانون عام اى طفل عنده سمنه او زياده فى الوزن فوق المعدل الطبيعي وعمره فوق ثمان سنوات لازم ولابد تعمل ALT ليه As screening test التفاصيل 👇👇👇👇👇👇 Ezz Clinical Cards – Pediatric Hepatology Clues 🚨Tip #1: Think Fatty Liver in Overweight Children • Common in children with obesity or insulin resistance • Often asymptomatic – detected via elevated ALT or ultrasound • Screen if BMI > 85th percentile with risk factors ✅ Bonus – Clinical Pearl: Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in children. ⸻ Ezz Clinical Cards – Pediatric Hepatology Clues 🚨Tip #2: ALT Is the Preferred Screening Test • ALT > 2× ULN suggests NAFLD • AST is less specific • Repeat abnormal ALT to confirm ✅ Bonus – Clinical Pearl: Use ALT, not AST, for initial fatty liver screening in children.