Liver Function Tests: Key Parameters and Their Clinical Significance
Question. Write short note on liver function test.
Answer.
Liver Function test
“Factors influencing success with liver function test knowledge: Q&A”
Serum Bilirubin
- The normal level is 1 mg / 100 mL.
- It increases in:
- Hepatocellular injury
- Posthepatic biliary obstruction.
Thymol turbidity test
- Demonstrating hepatic cellular dysfunction
- Gamma globulins are mainly responsible for positivity in this test.
“Understanding liver function tests through FAQs: Key parameters and clinical significance explained”
Enzyme in liver disease
1. Alkaline phosphate:
- Elevation occurs in obstructive jaundice.
- Mild elevation in xanthomatous cirrhosis, hepatocellular injury, liver abscess.
2. SGOT (serum glutamine oxalate transferase):
- Normal level is 5 to 40 unit
- It increases in all conditions leading to hepatic necrosis and in alcoholic liver damage.
“Common challenges in interpreting liver function tests effectively: FAQs provided”
3. SGPT (serum glutamine pyruvic transferase)
- It is more specifi for liver disease.
- It is raised in sever parenchymal damage to liver.
- For example, chronic acute hepatitis, alcoholic liver disease, biliary obstruction.
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4. GGT (gamma glutamyl transpeptidase): Sensitivity test for alcoholic liver disease and for hepatobiliary disease.
5. Leucine amylo peptidase: It increases in primary liver diseases.
6. Serum pseudocholinesterase:
- It has limited value.
- Value decreases in subacute and chronic parenchymal diseases of liver (Cirrhosis).
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