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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, Anti Mitochondrial Antibodies (AMA) to rule out PBC
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) No treatment other than bed rest is recommended for hepatitis C
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 1-3 month, call M-LINE and ask to speak to one of the hepatology faculty if urgent appointment is needed
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Fax non-UM records and MRI films 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