Liver & Other Enzymes Test Flashcards
Aspartate Aminotransferases is aka
SGOT- Serum Glutamic Oxaloacetic Transaminase
Alanine Aminotransferase is aka
SGPT- Serum Glutamic Pyruvic Transaminase
more specific in detecting non-alcoholic asymptomatic patients; dx of acute hepatitis
ALT
Used to monitor therapy of potentially hepatotoxic drugs; dx of chronic hepatitis
AST
Normal De Ritis Ratio
< 1.0
If the De Ritis Ratio is <1
acute viral hepatitis
If De Ritis Ratio >1.0 but <2.0
cirrhosis and non-viral hepatitis
If Di Ritis Ratio >2.0
Alcoholic liver disease
Normal Value of AST
5-30 U/L at 37ºC
Normal Value of ALT
6-37 U/L at 37ºC
ALP, 5’NT, LAP, GGT in bone disease
Increased, Norma, Normal, Normal
ALP, 5’NT, LAP, GGT in liver disease
Increased all
Normal Value of 5’NT
2-17 U/L
Normal Value of LAP
M: 80-200 U/mL F: 75-185 U/mL
Normal Value GGT
M: 0-65 U/L F; 0-45 U/L
What test is used for rape cases
Acid Phosphatase
Sample of choice in ACP assay
Plasma– to minimize platelet effects
Normal Value of ACP
0-0.8 U/L
An assay for GGT which uses p-nitroanilide as substrate
Szasz method
What hepatitis infection has increased risk for development of HCC
HBV or HCV
Cholinesterase that is present in serum or plasma
Pseudo-cholinesterase
Cholinesterase present in RBC and nerve tissues
True Cholinesterase
When assaying for pseudo-cholinesterase, which is more significant: increase or decrease level
Decreased level
Decreased CHS is seen in
parenchymatous liver disease, acute hepatitis, obstructive jaundice
It is a sensitive measure of overexposure to organophosphorus poisoning
Pseudo-cholinesterase
Normal Value of Cholinesterase
4.7-11.8 U/L at 37ºC
Normal G6PD
220-550 UI/RBC
Marker of muscles disease
Aldolase (ALS)
Increased in metastatic cancer
Phosphohexose isomerase (PHI)
Increased in primary liver disease, MI w/ CHF. Highest concentration is seen in central veins of liver
Isocitrate Dehydrogenase
It is decreased in hepatolenticular degeneration (Wilson’s Disease)
Ceruloplasmin