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Evaluation of abnormal liver function tests
1Gastroenterology Section, Ann Arbor Department of Veterans Affairs Medical Center, Michigan 48105, USA.
The Medical Clinics of North America
|September 1, 1996
Summary
Diagnosing abnormal liver function tests is possible in primary care. A thorough patient history, physical exam, and recognizing specific liver injury patterns can narrow down the possibilities, often avoiding the need for specialist referral.
Area of Science:
- Hepatology
- Internal Medicine
- Diagnostic Medicine
Background:
- Abnormal liver function tests (LFTs) indicate potential liver disease.
- The liver's involvement in various disorders necessitates a systematic diagnostic approach.
Purpose of the Study:
- To outline a diagnostic strategy for abnormal liver function tests in primary care settings.
- To emphasize the role of clinical evaluation in narrowing differential diagnoses.
Main Methods:
- Comprehensive patient history taking.
- Detailed physical examination.
- Recognition of distinct biochemical patterns of liver injury.
Main Results:
- A presumptive diagnosis for abnormal LFTs is achievable in most primary care cases.
- Clinical assessment can significantly narrow the differential diagnosis of liver disorders.
Conclusions:
- Primary care physicians can effectively manage most cases of abnormal liver function tests.
- Specialist referral is often not immediately required for initial diagnosis and management.