Peer Reviewed
Feature Article Gastroenterology
Evaluating patients who have abnormal liver tests
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Laboratory tests
Laboratory tests
Abstract
The cause of liver test abnormalities can usually be elicited by a detailed history and examination. The pattern and degree of the abnormalities may also provide clues.
Key Points
- Liver enzyme abnormalities may be physiological or pathological.
- Any persistent elevation of liver test results must be investigated.
- The cause of liver test abnormalities in the majority of cases can be determined by eliciting a detailed history and performing a thorough physical examination.
- Assess the degree as well as the pattern of elevation of liver tests.
- Serological testing for common causes of liver dysfunction should be undertaken.
- Upper abdominal ultrasonography is a useful noninvasive imaging procedure.
- Liver biopsy should be considered in consultation with a gastroenterologist.
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