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UMHS Home/Logo Consult Request Guidelines

for Abnormal LFTs

Abnormal LFTs (Hepatitic pattern, AST/ALT < 5x upper limit of normal, normal bilirubin)
Suggested Pre-Referral Evaluation and Management Guidelines
1) No alcohol
2) Repeat after 2-8 weeks to determine if LFT persistently abnormal
3) Test for HBsAg, anti-HCV
Suggested Additional Test/Management Prior to Specialty Visit
1) Refer if LFT persistently abnormal
2) Test for ANA, Smooth Muscle Antibodies (SMA), Fe/TIBC
3) Test for ceruloplasmin if <40 years
4) RUQ US to assess for fatty infiltration
Patient Education/Information (includes preps)
1) American Association for The Study of Liver Diseases
2) Centers for Disease Control & Prevention
3) National Institutes of Health
4) American Liver Foundation
5) Liver Function Panel
Appointment Timeframe 1-6 weeks
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Fax non-UM records to GI Scheduling office
External patients referral form
Clinic Contact Information Physicians: 800-962-3555 or 800-395-6431
Patients: 800-395-6431
Clinic Location Sites Hepatology Clinic Locations
UM Consulting Physician Hepatology Faculty

Lisa Sylvest, RN - UMHS Patient Liaison will answer provider questions.
Revised on: 01/06/2015