What is the appropriate action for a driver with an enlarged liver but no other complaints during examination?

In the scenario involving a driver with an enlarged liver but no other complaints, advising the patient to follow up with their primary care physician is the most appropriate action. This recommendation reflects the best practice of ensuring that the driver receives further evaluation and management from a healthcare provider who is familiar with their medical history and can offer a thorough assessment.

The enlarged liver could indicate underlying health issues that require further investigation, but as there are no immediate symptoms or complaints, it is crucial not to take drastic measures such as disqualification or unnecessary testing without further context. The primary care physician can order relevant tests, monitor the condition, and provide personalized advice based on the patient's complete health profile.

In contrast, ordering a chemistry panel and liver function tests, while informative, may not be essential at this stage without specific symptoms warranting immediate investigation. Also, disqualifying the driver from operating a commercial motor vehicle might not be justified without comprehensive evaluation and understanding of the potential impact of the liver condition on their ability to drive safely. An abdominal ultrasound may provide additional information, but it would typically be initiated by the primary care physician after a closer examination of the driver's overall situation. Thus, the approach of referral to the primary care physician is prudent and aligns with best medical practices for managing