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Interpret · Labs

Liver test patterns

Name the pattern first (hepatocellular, cholestatic, mixed); the pattern chooses the next test.

The order of operations

  1. 1ALT / AST
  2. 2ALP + GGT
  3. 3Bilirubin, fractionated
  4. 4Albumin + INR (synthesis)
  5. 5Pattern
  6. 6Cause

Liver enzymes in the thousands

core

A 24-year-old is brought in drowsy after an overdose taken 36 hours ago. She will not say what she took.

Itch, dark urine, pale stools

core

A 61-year-old presents with three weeks of itching, dark urine, and 5 kg of weight loss. He is visibly jaundiced.