62 results
Liver Function Tests (LFTs) - Normal Values and Interpretation

Alanine aminotransferase (ALT/SGPT) - Liver, cardiac & skeletal
(LFTs) - Normal ... , biliary epithelium ... , NOT in bone Total ... Conjugated/DBili) - Biliary ... Function #Tests #LFTs
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... and Biliary Diseases ... erythema 2) Face: Jaundice ... Xanthelasma and jaundiced ... Bruising, Edema #biliary
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... (LFTs) Elevation ... specific for the liver ... ALP - Biliary ... #FunctionTest #LFTs
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... Important findings: jaundice ... - Vitals - LFTs ... MELD - Chronic liver ... US - Prior liver
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Jaundice - Differential ... Dilatation on Ultrasound ... Biliary Duct Compression ... Gallstones • Biliary ... Cholangitis #Jaundice
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
hepatic panel with normal ... compression of biliary ... RUQ pain, fever, jaundice ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Patterns of Liver ... Levels: > 50x normal ... Alcoholic cirrhosis, Portal ... #Patterns #Liver ... Injury #hepatology #LFTs
Reference Laboratory Values - Fishbone Shorthand
Complete Blood Count (CBC), Basic Metabolic Panel (BMP), Liver Function Tests
Metabolic Panel (BMP), Liver ... Function Tests (LFTs ... Labs #Reference #Normal
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... disease US — Normal ... Duct Stone • Biliary ... • Others #LFTs
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... discomfort Signs: Jaundice ... Liver biopsy findings ... #PBC #Primary #Biliary