Abstract

ARREDONDO BRUCE, Alfredo Enrique; TRUJILLO PEREZ, Yon  and  CHIONG QUESADA, Martin. Practical use of the laboratory in hepatic diseases. Rev.Med.Electrón. [online]. 2019, vol.41, n.5, pp. 1217-1229.  Epub Oct 31, 2019. ISSN 1684-1824.

The physician providing health care should daily evaluate hepatic testes in persons with liver diseases, or in the so-called controls to persons supposedly healthy. The aim of this work was facilitating practical reflection in the interpretation of hepatic testes. The most important works published in MEDLINE, EMBASE and Scielo during the last years were reviewed for understanding laboratory tests in the study of hepatic lesions. In the regular practice the increase of aminotransferases has been associated to a growth of total mortality, and this one related to hepatic dysfunction. The imaging studies and also hepatic biopsy should be taking into consideration when hepatic testes do not define the diagnosis, to study the patient, or when there are many possible diagnoses; therefore defining the growth of the alaninotransferase and aspartate aminotransferase levels together with the levels of alkaline phosphatase and bilirubin in the cholestasis lesion and the use of testes measuring the cell metabolism in the hepatocellular disease or cholestasis are very important in the day-to-day medical practice.

Keywords : chemical hepatic testes; liver metabolic testes; liver diseases; cholestasis.

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