Diagnoses
Terms
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copy deck
- If AsT/AlT are significantly elevated, w/ ratio decreased, what would you suspect?
- Acute viral hepatitis
- If GGT is significantly high, what would you suspect?
- Alcoholic (drug) hepatitis
- If AST/ALT are somewhat high, and GGT and ALP are N->high, what would you suspect?
- Chronic hepatocellular disease
- If everything were normal to high, what would you suspect?
- Cirrhosis
- If only GGT were elevated, and not as significantly as in alcoholism, what would you suspect?
- Choleostatic disease
- LD1
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Myocardial infarct
Anemia - LD3
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Lung disease
Pulmonary infarct
Malignancy - LD4/5
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Hepatitis
Cirrhosis - CKMM
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injection
exercise
surgery - CKBB
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brain damage
tumor - CKMB
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myocardial infarct
(Duchene m.dystrophy MM&MB) - AST
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ACUTE HEPATOCEL. DISORDER - levels 100x higher.
-Mydl infrct (not much)
-Pulmonary embolism
-Hepatitis, Cirrhosis - ALT
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Hepatic disorders
Acute inflammatory conditions
Hepatitis
Cirrhosis - ALP1
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Biliary tract obstruction
Hepatitis/cirrhosis (slight) - ALP2
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Paget's
Ricket's
Healing fractures
Pregnancy/puberty - 5' Nucleotidase
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Hepatobiliary disorders
Liver cancer - If 5'N is normal and ALP is high,
- BONE DISEASE
- What indicates biliary tract obstruction?
- ALP1
- GGT
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ALCOHOLISM hepatobiliary dis.
Cirrhosis
Like 5'Nucleotidase - if low and ALP is high, BONE. -
Phentoin, tricyc antideprss, benzodiazepine tranquilizers,
Warfarin... do what? - Induce hepatic enzymes; increases GGT even w/out liver problems.
- Where is GGT NOT?
- in rbcs - hemolysis won't affect it.
- AMS
- Pancreatitis
- LIP
- Pancreatitis - longer than AMS
- ACP
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Prostate cancer in bone
Forensic investigation - Aldolase
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Muscular dystrophy
Cancer, leukemia
Hepatitis - Cholinesterase
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Insecticide poisoning
Anesthesia patients
-Breaks down acetylcholine.