[-] Show simple item record

dc.contributor.authorGrover, Michaeleng
dc.contributor.authorRutkowski, Richardeng
dc.contributor.authorNashelsky, Joaneng
dc.contributor.otherUniversity of Missouri-Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Network.eng
dc.date.issued2012-10eng
dc.description.abstractThe evaluation of patients with elevated transaminase levels should be individualized based on the presence of symptoms or physical examination findings that suggest serious disease or hepatic decompensation. (Strength of Recommendation [SOR]: C, expert opinion.) The initial evaluation should determine specific etiologies, such as exposure to alcohol or hepatotoxic medications, viral hepatitis, or hemochromatosis. In patients with reassuring initial test results, lifestyle modification can reverse presumed nonalcoholic fatty liver disease (NAFLD), the most common cause of persistently elevated liver transaminase levels. (SOR: B, based on cohort trials.) Transaminase levels that are elevated for longer than six months warrant additional investigation, which may include ultrasonography, additional serology, and possible liver biopsy. (SOR: C, expert opinion.)eng
dc.identifier.citationAmerican Family Physician, 86(8) 2012.eng
dc.identifier.urihttp://hdl.handle.net/10355/15739eng
dc.publisherFamily Physicians Inquiries Networkeng
dc.subjectliver diseaseeng
dc.subjectliver enzymeseng
dc.subjectlifestyle modificationseng
dc.subject.lcshLiver -- Diseases -- Diagnosiseng
dc.subject.lcshAminotransferaseseng
dc.titleEvaluation of elevated serum transaminase levelseng
dc.typeArticleeng


Files in this item

[PDF]

This item appears in the following Collection(s)

[-] Show simple item record