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UMHS Home/Logo Consult Request Guidelines

for Abnormal LFTs

Abnormal LFTs (cholestatic pattern, alkaline phosphatase more markedly elevated than AST/ALT)
Suggested Pre-Referral Evaluation and Management Guidelines
1) RUQ US to rule out biliary obstruction
2) ANA, antimitochondrial antibodies (AMA) to rule out PBC
3) PT/INR if bilirubin is increased
Suggested Additional Test/Management Prior to Specialty Visit
1) Refer if bilirubin increased or alkaline phosphatase >2x upper limit of normal (ULN). Ask for early appointment if patient is overtly jaundiced
2) Repeat LFT if bilirubin normal and alkaline phosphatase <2x upper limit of normal (ULN), refer if LFT persistently abnormal
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: Send through MiChart Patient portal
External Patients: Fax non-UM records to Hepatology office 734-998-1453. Ask patient to hand carry CD of CT or MRI to clinic.
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
Revised on: 12/18/2015