{"id":1359,"date":"2017-07-03T16:17:31","date_gmt":"2017-07-03T16:17:31","guid":{"rendered":"http:\/\/papergp.com\/index.php\/data-interpretation\/lfts\/alp-cholestatic-lfts-with-normal-bilirubin\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"alp-cholestatic-lfts-with-normal-bilirubin","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/data-interpretation\/lfts\/alp-cholestatic-lfts-with-normal-bilirubin\/","title":{"rendered":"ALP &#8211; Cholestatic LFTs with normal bilirubin"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Hepatotoxic drugs<\/li>\n<li>Alcohol, illicit drug use<\/li>\n<li>Blood transfusions<\/li>\n<li>New sexual partners<\/li>\n<li>FH<\/li>\n<li>Metabolic syndrome<\/li>\n<li>BMI<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Repeat within 1 month with GGT\n<ul>\n<li>elevated GGT suggests liver aetiology &#8211; otherwise consider bone aetiology and check vitamin D<\/li>\n<\/ul>\n<\/li>\n<li>If persistently raised, consider\n<ul>\n<li>USS abdo\/liver<\/li>\n<li>Bloods: HBV, HCV, Autoantibodies, Ferritin, Transferrin saturation, Caeruloplasmin, Immunoglobulins, a1-antitrypsin, USS abdo\/liver\n<ul>\n<li>normal\n<ul>\n<li>manage in primary care\n<ul>\n<li>lifestyle advice and repeat LFTs in 1 year<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>abnormal\n<ul>\n<li>Refer to Hepatology\n<ul>\n<li>(need to rule out &#8211; viral hepatitis, alcoholic liver disease, PSC, PBC, autoimmune hepatitis, gallstone disease, hepatic vascular disorders, hepatic metabolic disorders, hepatic malignancy, biliary malignancy)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Hepatotoxic drugs Alcohol, illicit drug use Blood transfusions New sexual partners FH Metabolic syndrome BMI &nbsp; Clinical management Repeat within 1 month with GGT elevated GGT suggests liver aetiology &#8211; otherwise consider bone aetiology and check vitamin D If persistently raised, consider USS abdo\/liver Bloods: HBV, HCV, Autoantibodies, Ferritin, Transferrin saturation, Caeruloplasmin, Immunoglobulins, &hellip; <a href=\"https:\/\/papergp.com\/index.php\/data-interpretation\/lfts\/alp-cholestatic-lfts-with-normal-bilirubin\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">ALP &#8211; Cholestatic LFTs with normal bilirubin<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1347,"menu_order":21,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1359","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1359"}],"version-history":[{"count":4,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1359\/revisions"}],"predecessor-version":[{"id":2079,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1359\/revisions\/2079"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1347"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}