Additional tests

Question 1

CBC abnormalities of liver dysfunction

Answer 1

-Anemia (chronic inflammatory, iron deficiency or non regenerative with no polychromasia)
-Codocytes, acanthocytes
-Hypoalbuminemia
-Hypoglobulinemia (uncommon)
-Decreased UN
-Hypo or hypercholesterolemia
-Hypoglycemia

Question 2

Coagulation testing with liver function

Answer 2

-Prolonged PT and APTT
-Decreased fibrinogen
-Increased FDPs
-Vitamin K deficiency (from chronic cholestasis)
Not common to have spontaneous hemorrhage

Question 3

Urinalysis abnormalities with liver abnormalities

Answer 3

-Bilirubinuria (often detect before hyperbilirubinemia)
Interpret with USG
-Ammonium biurate crystalluria
-Decreased concentrating ability (hyposthenuria/isosthenuria)