GASTRO/GENSURG
HEPATITIS
PromptHepatitis blood results
ResponseUnconjugated hyperbilirubinaemia
Hepatocellular pattern - ALT + AST >> GGT + ALP
Low albumin - impaired synthetic function (coags altered)
Hepatocellular pattern - ALT + AST >> GGT + ALP
Low albumin - impaired synthetic function (coags altered)
PromptDifferentials
ResponseInfectious
Parcetamol toxicity
EtOh
NASH
Autoimmune
Ischaemic hepatitis
Parcetamol toxicity
EtOh
NASH
Autoimmune
Ischaemic hepatitis
PromptInvestigations for hepaitits
ResponseHepatitis serology - A, B, C - for cause of hepatitis
Paracetamol level - ? cause, treatment available
BSL - Hypoglycaemia in fulminant synthetic dysfunction (loss of gluconeogenesis)
Coags - synthetic dysfunction
Autoimmune markers - for diagnosis
Electrolytes - hyponatraemia common in liver disease
USS abdomen - Define liver architecture (Cirrhosis), exclude portal venous thrombosis
Paracetamol level - ? cause, treatment available
BSL - Hypoglycaemia in fulminant synthetic dysfunction (loss of gluconeogenesis)
Coags - synthetic dysfunction
Autoimmune markers - for diagnosis
Electrolytes - hyponatraemia common in liver disease
USS abdomen - Define liver architecture (Cirrhosis), exclude portal venous thrombosis