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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 antinuclear antibody (ANA), smooth muscle antibodies (SMA), ferritin/total iron-binding capacity (Fe/TIBC)
3) Test for ceruloplasmin if patient younger than 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 and 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 Hepatology Scheduling office. Fax number: 734-998-1453
Outpatient Consult Request form
Clinic Contact Information Physicians: 800-962-3555 or 844-233-0433
Patients: 844-233-0433
Clinic Location Sites Hepatology Clinic Locations
UM Consulting Physician Hepatology Faculty

Lisa Sylvest, RN - UMHS Patient Liaison will answer provider questions.
Revised on: 04/16/2015