Christian L. Horn, MD, DABOM Profile picture
Hepatologist and Gastroenterologist at @BrookeArmyMed | Director of Hepatology | @UCDavis 2010 | @EVMSedu 2015 | @MadiganHealth IM 2018 | @SAUSHEC_GI 2021
Jun 10, 2023 โ€ข 10 tweets โ€ข 5 min read
Hepatocellular Carcinoma (HCC): a ๐Ÿงต

Inspired by the recently developed @AASLDtweets guidance, available in preprint format (most images take from preprint)

๐Ÿ”—DOI.org/10.1097/HEP.00โ€ฆ Screen in high risk patients (see picture) q6 mo using:
โœ… RUQ U/S
โœ… AFP
โš ๏ธ AASLD does NOT recommend routine use of CT/MRI for screening

Stop screening if:
๐Ÿ›‘ CPT C cirrhosis not eligible for transplant
๐Ÿ›‘ Life limiting comorbidities Image
Feb 25, 2023 โ€ข 9 tweets โ€ข 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:

๐Ÿ”น Total bilirubin
๐Ÿ”น Total protein
๐Ÿ”น Albumin
๐Ÿ”น ALT
๐Ÿ”น AST
๐Ÿ”น 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 โ€œLFTsโ€ that are elevated are varying degrees of:
๐Ÿ”ด Total bilirubin (Tbili)
๐Ÿ”ด ALT
๐Ÿ”ด AST
๐Ÿ”ด ALP