Hepatologist and Gastroenterologist at @BrookeArmyMed | Director of Hepatology | @UCDavis 2010 | @EVMSedu 2015 | @MadiganHealth IM 2018 | @SAUSHEC_GI 2021
Jun 10, 2023 โข 10 tweets โข 5 min read
Hepatocellular Carcinoma (HCC): a ๐งต
Inspired by the recently developed @AASLDtweets guidance, available in preprint format (most images take from preprint)
๐DOI.org/10.1097/HEP.00โฆ
Screen in high risk patients (see picture) q6 mo using:
โ RUQ U/S
โ AFP
โ ๏ธ AASLD does NOT recommend routine use of CT/MRI for screening
Stop screening if:
๐ CPT C cirrhosis not eligible for transplant
๐ Life limiting comorbidities
Feb 25, 2023 โข 9 tweets โข 2 min read
What are the liver function tests (LFTs)?
LFTs also called hepatic function panel (HFP) is an order in medicine that gives you a number of serological values related to the liver, namely:
๐น Total bilirubin
๐น Total protein
๐น Albumin
๐น ALT
๐น AST
๐น Alkaline phosphatase (ALP)
In medicine, we frequently say a patient has elevated LFTs, meaning that the values of these labs are elevated and something is wrong with the liver!
Classically, the โLFTsโ that are elevated are varying degrees of:
๐ด Total bilirubin (Tbili)
๐ด ALT
๐ด AST
๐ด ALP