Blood Tests for Liver Disease Flashcards
1
Q
4 liver enzymes
A
AST
ALT (specific to liver)
ALP
GGT
2
Q
Liver function tests
A
INR
Bilirubin
Albumin
Glucose/Igs
3
Q
Which liver enzymes point to hepatocelluler vs cholestatic
A
HC: AST, ALT
CS: ALP, GGT
4
Q
What suggests chronic vs acute liver disease?
A
Chronic: high albumin and bilirubin, low PLTs, ascites
Acute: enzymes high, function normal
5
Q
Liver enzyme ratio we expect with alcohol
A
AST to ALT ratio over 2
The hepatocytes that produce AST are more effected (pericentral) and alcohol targets mitochondria that makes the AST
6
Q
What % of transferrin saturation should make you worried about iron overload?
A
> 60%
7
Q
How do you treat hemochromotosis?
A
Phlebotomy
