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Liver Function Tests
Liver Function Tests
FUNCTIONS OF LIVER
1. SYNTHETIC FUNCTION
a. Synthesis of Plasma proteins (Albumin, Coagulation factors)
b. Synthesis of Cholesterol, Triacylglycerol & Lipoprotein synthesis
2. METABOLIC FUNCTION
a. Carbohydrates --- Glycolysis; Glycogenesis; Glycogenolysis, Gluconeogenesis ,TCA
b. Lipids --- Ketone Bodies, Fatty acid, Lp and Apoproteins
c. Proteins --- Protein catabolism to Aminoacids .
3. DETOXIFICATION
a. Endogenous -- Ammonia detoxified to Urea
b. Exogenous -- Drug metabolites-- water soluble, conjugate with GGG to be excreted in urine
4. EXCRETORY
a. Substances detoxified in the liver are excreted---Bilirubin & Bile Pigments
1. Jaundice
2. Suspected liver metastasis
3. Alcoholic liver disease
4. Any undiagnosed Chronic Illness
5. Annual check up of Diabetic patients
6. Coagulation disorders
7. Therapy with Statins to check Hepatotoxicity
CLASSIFICATION OF LFT
• Group I (Tests of Hepatic excretory function)
1. Serum: Bilirubin; Total, conjugated, and unconjugated
2. Urine: Bile pigments, bile salts and urobilinogen
3. Bromosulphathelien Test
Others
VandenBergh Reaction
CLASSIFICATION BASED ON CLINICAL MANIFESTATIONS
UNCONUGATED CONJUGATED
BILIRUBIN BILIRUBIN
HEMOLYTIC OBSTRUCTIVE
JAUNDICE JAUNDICE
HEPATOCELLULAR JAUNDICE
5) S. Albumin 3.5--5.0 g%
6) S.Globulin 2.5--3.5 g%
7) S.AST 5 - 45 U/L
8) S.ALT 5 - 45 U/L