Liver Chemistry Interpretation
Cellular Destruction: ...
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Description

Liver Chemistry Interpretation

Cellular Destruction: Hepatocellular level

Obstruction: ChoIestasis

Production: Albumin, Coagulation Factors (PT/INR)

Infiltrative: Elevation of ALP



R-value =  serum (ALT/ULN ALT) / (Alk phos/ULN ALP)

 • R > 5 hepatocellular - Check Acute viral hepatitis serologies, HCV RNA, autoimmune serology / imaging.

 • R 2-5 Mixed - Check Acute viral hepatitis serologies, HCV RNA, autoimmune serology / imaging.

 • R < 2 Cholestasis - Obtain imaging studies



#liver #chemistry #diagnosis #differential #Hepatology #transaminitis #LFTs #RValue #interpretation
Contributed by

Dr. Ravi Singh K
@rav7ks
Academic Hospitalist and APD @SinaiBmoreIMRes, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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