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AST and ALT elevation

  • Ddx

    • liver
      • hepatitis (travel hx)
      • EtOH (AST > 2x ALT)
      • cirrhosis
      • steatohepatitis
      • drugs (acetaminophen)
      • shock liver (recent shock)
      • hemachormatosis
      • alpha 1 antitrypsin deficiency (lung dz)
      • Wilson disease (neuro sx)
      • HCC
    • biliary (elevated bilirubin and AP)
      • cholestasis (RUQ pain, jaundice)
      • PBC (jaundice, pruritus)
      • PSC (jaundice, pruritus, PMH of UC)
      • biliary cancer
    • pancreatitis (epigastric pain)
    • infarction (CK elevated)
      • CVA
      • MI
      • muscle injury
  • Labs

    • lipase, amylase
    • CK
    • cardiac enzymes if suspect MI
    • EKG if suspect MI
    • US
    • ERCP
    • head CT if suspect stroke

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.