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Alkaline Phosphatase (
ALP
... Diagnosis Algorithm
ALP
... - Increased
ALP
... Intestine - Other
causes
... #Phosphatase #
ALP
ALP
enzyme- Discovered ... in 1923 Low
ALP
... 1948 by Rathbun
ALP
... Most
cases
diagnosed ... Phosphatase: • Other
causes
Algorithm Vascular
Causes
... specificity to elevated
ALP
... • AST/
ALT
>
ALP
... GGT/5-NT: ↑ -
ALP
... hemolysis) •
ALP
(from multiple
causes
... Decr PO4, Incr
ALP
... of underlying
cause
intralobular bile ducts
causes
... Nucleotidase •
ALT
... obstruction •
ALP
phos/ULN
ALP
) ... Cholestasis •
ALP
... disease • If
ALP
... both are normal -
ALP
... • Elevation of
ALP
rechallenge and other
causes
... of
AP
are ruled ... out other common
causes
... Class II:
Cases
... #Pancreatitis #
Causes
or AST >
ALP
): ... • Severe -
ALT
... • Moderate -
ALT
... Cholestatic Pattern (
ALP
... >
ALT
or AST):
kidney, brain
ALT
... for the liver
ALP
... Transaminase,
ALP
... / ULN
ALT
) / (
ALP
... / ULN
ALP
)
Enzymes (LFTs) -
Causes
... Injury • AST/
ALT
... elevation >
Alk
... phos •
ALT
more ... • R value = (
ALT
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