Approach to Abnormal Liver Biochemistries in the Primary Care Setting

被引：1

作者：

Rajesh, R. ^{[1
]}

Sangameshwar, Aditya ^{[2
]}

Tan, Yi Yuan ^{[1
]}

Jun, Kevin Teh Kim ^{[1
]}

Tham, Tat Yean ^{[3
]}

Chuen, Mark Cheah Chang ^{[1
]}

机构：

[1] Singapore Gen Hosp, Gastroenterol & Hepatol, Singapore, Singapore

[2] Natl Univ Singapore Hosp, Family Med, Singapore, Singapore

[3] Frontier Healthcare, Family Med, Singapore, Singapore

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 03期

关键词：

liver biochemistry; gastroenterology; liver; approach to lft; primary care; liver function test; hepatology; VIRUS-INFECTION; MANAGEMENT; DIAGNOSIS; DISEASE; BILIRUBIN; INJURY; TESTS; RISK;

D O I：

10.7759/cureus.56541

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Liver biochemistries are commonly ordered in the primary care setting, and they may return abnormal even in an asymptomatic patient. Primary care physicians need to have a systematic way of interpreting any derangement in these tests so that further investigations, referrals, and management can be arranged appropriately. This review dwells into patterns of liver biochemistry derangement, common aetiologies to consider, history and examinations that are required, initial investigations to order, and when to refer urgently to the emergency department.

引用

页数：6

共 50 条

[31] Approach to major depression in old people in a primary care setting
Navarro, B.
Lopez-Torres, J.
Parraga, I.
Andres, F.
Morena, S.
Latorre, J. M.
SWISS MEDICAL WEEKLY, 2009, 139 (33-34) : 54S - 54S
[32] TEACHING BEHAVIORAL MEDICINE IN A PRIMARY CARE SETTING - AN INTEGRATED APPROACH
ROSENBERG, MR
HOFFMANWILDE, S
GENERAL HOSPITAL PSYCHIATRY, 1989, 11 (01) : 59 - 62
[33] Decreased fetal movements: a practical approach in a primary care setting
Franks, Zanna
Nightingale, Rachael
AUSTRALIAN FAMILY PHYSICIAN, 2014, 43 (11) : 782 - 785
[34] Abnormal hepatic biochemistries in patients with inflammatory bowel disease
Mendes, Flavia D.
Levy, Cynthia
Enders, Felicity B.
Loftus, Edward V., Jr.
Angulo, Paul
Lindor, Keith D.
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2007, 102 (02): : 344 - 350
[35] Hepatology Consultants Often Disagree on Etiology of Abnormal Liver Biochemistries in COVID-19 but Agree on Management
Bloom, Patricia P.
Pasricha, Trisha S.
Andersson, Karin L.
Pratt, Daniel S.
Hashemi, Nikroo
Bhan, Irun
Viveiros, Kathleen
DIGESTIVE DISEASES AND SCIENCES, 2021, 66 (06) : 1852 - 1854
[36] Clinical cohort of nonalcoholic fatty liver disease in a primary care setting
Gips, Julia R.
Yanek, Lisa
Wu, Jiajun
Hamilton, James P.
Woreta, Tinsay A.
Clark, Jeanne M.
JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE, 2024, 13 (08) : 2958 - 2963
[37] Algorithms for Early Detection of Silent Liver Fibrosis in the Primary Care Setting
Bech, Katrine Tholstrup
Lindvig, Katrine Prier
Thiele, Maja
Castera, Laurent
SEMINARS IN LIVER DISEASE, 2024, 44 (01) : 23 - 34
[38] Atorvastatin does not improve liver biochemistries or Mayo Risk Score in primary biliary cirrhosis
Stanca, Carmen M.
Bach, Nancy
Allina, Jorge
Bodian, Carol
Bodenheimer, Henry, Jr.
Odin, Joseph A.
DIGESTIVE DISEASES AND SCIENCES, 2008, 53 (07) : 1988 - 1993
[39] Atorvastatin Does Not Improve Liver Biochemistries or Mayo Risk Score in Primary Biliary Cirrhosis
Carmen M. Stanca
Nancy Bach
Jorge Allina
Carol Bodian
Henry Bodenheimer
Joseph A. Odin
Digestive Diseases and Sciences, 2008, 53 : 1988 - 1993
[40] THE LONG-TERM EFFECT OF URSODEOXYCHOLIC ACID ON LIVER BIOCHEMISTRIES IN PRIMARY BILIARY CIRRHOSIS
Kuiper, Edith M.
Hansen, Bettina E.
Lesterhuis, W.
Robijn, R. J.
Thijs, J. C.
Engels, L. G.
Koek, Ger H.
Aparicio, M. N.
Kerbert-Dreteler, M. J.
van Buuren, Henk R.
HEPATOLOGY, 2009, 50 (04) : 1001A - 1002A

← 1 2 3 4 5 →