Blood bilirubin and liver protein reference values

Question 1

Normal
Total serum bilirubin
Direct serum bilirubin

Answer 1

Total Serum Bilirubin < 17 micromolar uM

Serum Direct bilirubin < 5 uM

Question 2

Ratio for a
direct hyperbilirubinemia
and for
indirect hyperbilirubinemia

Answer 2

Direct: direct / total < 0.2

Indirect: direct / total >0.4

Question 3

Subicterus total bilirubin value

Jaundice total bilirubin value

Answer 3

Subicterus between 17uM and 50uM

Jaundice, above 50uM

Question 4

Normal LDH
Normal ALP
Normal GGT
and what are these all for?

Answer 4

LDH: lactate dehydrogenase, found in RBCs, indicates hemolysis if it is > 160 U/L

ALP: Alkaline phosphatase indicates obstructive jaundice or bone disorder if >150 U/L

GGT: Gamma Glutamyl Trasnpeptidase: also indicates obstructive jaundice if > 60 U/L

Question 5

Normal blood albumin and protein levels

Answer 5

Albumin 35-50 g/L

Protein 60-80 g/L