LFTs Flashcards

1
Q

What are the markers of liver function?

A

Albumin

Prothrombin time/INR

Bilirubin

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2
Q

What is hypoalbuminaemia?

A

Low albumin levels in the blood

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3
Q

What does hypoalbuminaemia tell us about liver function?

A

Severe liver dysfunction

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4
Q

What is meant by a prolonged prothrombin time/INR?

A

Common pathway and extrinsic pathway of clotting cascade take too long to complete

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5
Q

What does a prolonged prothrombin time/INR tell us about liver function?

A

Severe liver dysfunction

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6
Q

What are the markers of liver damage?

A

Alanine aminotransferase, ALT

Alkaline phosphatase, Alk Phos

Gamma glutamyl transferase, Gamma GT

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7
Q

Where is ALT found in the liver?

A

In hepatocytes

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8
Q

What happens to ALT in the liver with liver damage?

A

Inflamed hepatocytes leak ALT into the blood

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9
Q

How do ALT levels change with liver damage?

A

Raised

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10
Q

What are the causes of liver damage that give raised ALT?

A

Hepatitis

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11
Q

What are the causes of hepatitis?

A

Viral hepatitis

Acute alcohol intake

Fatty liver disease

Drugs, toxins

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12
Q

Where is Alk Phos found in the liver?

A

Bile canaliculi

Bile ducts

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13
Q

Where else in the body apart from the liver is Alk Phos found?

A

Bone

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14
Q

What are the causes of raised Alk Phos levels?

A

Liver damage

Bone damage

Growing bones

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15
Q

What are the causes of liver damage that give raised Alk Phos?

A

Bile duct obstruction

Cirrhosis

Liver metastases

Drugs

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16
Q

Why does bile duct obstruction give a raised Alk Phos?

A

Damages bile ducts
bile duct cells become inflamed
leak Alk Phos

17
Q

Why do cirrhosis and liver metastases give a raised Alk Phos?

A

Compress bile ducts
damage bile ducts
bile duct cells become inflamed
leak Alk Phos

18
Q

What are the causes of bone damage that give raised Alk Phos?

A

Bone fracture

Bone metastases

Paget’s disease

Osteomalacia

19
Q

Where is Gamma GT found in the liver?

A

Bile ducts

20
Q

What are the causes of raised levels of Gamma GT?

A

Bile duct obstruction

Cirrhosis

Liver metastases

Drugs

Alcoholism

21
Q

What other investigations are used for liver disease?

A

Ultrasound