title: Abnormal liver test results on routine screening. How to evaluate, when to refer for a biopsy.
abstract: Primary care physicians are often the first healthcare professionals to see abnormalities that show up in routine serum liver testing--results that may indicate liver disease. In this article, Drs Mallory, Lee, and Kowdley offer a practical approach to evaluating abnormal levels of markers of hepatocellular injury, cholestasis, and liver synthetic function. They also explore the considerations that might prompt physicians to request a liver biopsy.
authors.affiliation: Division of Gastroenterology and Hepatology, University of Washington School of Medicine, Seattle, WA, USA.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Mallory
authors.forename: Stanley W
authors.initials: SW
authors.lastname: Lee
authors.forename: Kris V
authors.initials: KV
authors.lastname: Kowdley
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis*; D008111:Liver Function Tests