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Diagnoses

Terms

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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
Myocardial infarct
Anemia
LD3
Lung disease
Pulmonary infarct
Malignancy
LD4/5
Hepatitis
Cirrhosis
CKMM
injection
exercise
surgery
CKBB
brain damage
tumor
CKMB
myocardial infarct
(Duchene m.dystrophy MM&MB)
AST
ACUTE HEPATOCEL. DISORDER - levels 100x higher.
-Mydl infrct (not much)
-Pulmonary embolism
-Hepatitis, Cirrhosis
ALT
Hepatic disorders
Acute inflammatory conditions
Hepatitis
Cirrhosis
ALP1
Biliary tract obstruction
Hepatitis/cirrhosis (slight)
ALP2
Paget's
Ricket's
Healing fractures
Pregnancy/puberty
5' Nucleotidase
Hepatobiliary disorders
Liver cancer
If 5'N is normal and ALP is high,
BONE DISEASE
What indicates biliary tract obstruction?
ALP1
GGT
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
Prostate cancer in bone
Forensic investigation
Aldolase
Muscular dystrophy
Cancer, leukemia
Hepatitis
Cholinesterase
Insecticide poisoning
Anesthesia patients
-Breaks down acetylcholine.

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