What must i do about abnormal lft
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What must I do about abnormal LFT?. KEVIN ROSENFELD Consultant Radiologist West Hertfordshire Hospitals Spire Hospital Harpenden Spire Hospital Bushey. Abnormal LFT. Symptomatic or incidental finding Symptoms Pain,nausea,LOW,known malignancy Ultrasound Pathology Gallstones neoplasm.

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What must I do about abnormal LFT?

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What must I do about abnormal LFT?

KEVIN ROSENFELD

Consultant Radiologist

West Hertfordshire Hospitals

Spire Hospital Harpenden

Spire Hospital Bushey


Abnormal LFT

  • Symptomatic or incidental finding

  • Symptoms

    • Pain,nausea,LOW,known malignancy

  • Ultrasound

  • Pathology

    • Gallstones

    • neoplasm


Asymptomatic abnormal LFT

  • Incidental finding


CASE 1

  • 40 M

  • Insurance medical

  • Bloods:GGT 240 rest bloods normal

  • What do next?

    • Ultrasound

    • GI referral

    • Counsel patient

    • nothing


CASE 2

  • 55F

  • Pneumonia

  • Treated A/B

  • Still unwell

  • Bloods : AST 95 alk phos normal GGT 150

  • What next

    • GI referral

    • Ultrasound

    • Stop AB and recheck bloods in 4 weeks


Management of asymptomatic abnormal LFT

  • Draft guidelines BSG

  • Not universally accepted

  • West Herts adopted for primary care


Liver Metastases U/S


Liver Metastases CT


Fatty Liver

  • Common ultrasound finding


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