Abnormal LFTs are common observation in family practice. It can be present in majority of patients with no symptoms and in some patients with minor symptoms like lethargy, pruritis, abdominal pain, low grade fever. An expert family physician with the help of detailed history and physical examination can suspect potentially fatal diseases like cirrhosis, primary biliary cirrhosis, primary sclerosing cholangitis, and liver tumors and by following cardinal principles of family practice like referral, sharing of responsibility and continued follow up may save patients lives with liver problems. I.
TEST FOR HEPATOCELLULAR INJURY Aminotransferases: Alanine aminotransferase (ALT) and Aspartate Aminotransferase (AST) are released in blood stream after hepatocellular injury. Increased ALT activity reflects hepatic damage more specific. II. TEST FOR CHOLESTASIS …
