Send to

Choose Destination
Med Clin North Am. 2014 Jan;98(1):1-16. doi: 10.1016/j.mcna.2013.09.005. Epub 2013 Oct 28.

Evaluation of abnormal liver tests.

Author information

Division of Gastroenterology and Hepatology, The Johns Hopkins Hospital, 1830 East Monument Street, Suite 428, Baltimore, MD 21287, USA.


The routine use of serum biochemical tests allows for the detection of acute and chronic liver injury before the onset of symptoms. These tests consist of markers of hepatocellular injury (aminotransferases and APs); tests of liver metabolism (total bilirubin); and tests of liver synthetic function (serum albumin and PT). Noninvasive tests for assessment of liver fibrosis are promising tools for diagnosis and prognosis of patients with chronic liver disease. A comprehensive history, physical examination, and assessment of pattern of liver injury with additional laboratory and imaging testing establish the cause of hepatobiliary disease in most cases.


Alkaline phosphatase; Aminotransferases; Bilirubin metabolism; Cholestasis; Hepatocellular injury

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center