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afya
AbnormalLFT
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> see patient .co.uk ''bilirubin'' breakdown of haem, binds to albumin, conjugated by liver, lost in urine ''albumin'' chronic marker ''total protein'' albumin + globulin (as one rises, other falls) high in chronic active or alcoholic hepatitis ''ALT/AST'' show hepatocellular damage esp ALT AST also in skeletal muscle (Creatinine Kinase) or Heart (troponin) high ALT (>1000) - PCM, acute hep A/B, ischaemia, autoimmune ratio can be useful ''GGT'' helps show specific to liver damage but raised in many liver diseases ''Alk Phos'' from bile duct and bone so if GGT also high - then cholestasis, if normal then bone Check ... travel, transfusion, alcohol Exam - liver stigma, hepatosplenomegaly, ascites, obesity
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Liver