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Raised Alk Phos in aSx pt
check bilirubin, LFT, creatinine, Ca, TFT, FBC
ie liver, renal, bone, thyroid, blood.

Think
growth in adolescents / pregnancy / old age
drugs

probably liver or bone - GGT is raised in liver
if liver - do scan for stones / SOL and anitmitochondrial Abs for PBC
if bone - do vit D