#302 LFTs Triple Distilled

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 27 October 2021

⏱️ 36 minutes

🔗️ Recording | iTunes | RSS

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Summary

Fine-tune your approach to liver tests! It’s LFTs Triple Distilled! Paul and Matt channel the wisdom of hepatologist, Dr. Elliot Tapper (@ebtapper) to cover hepatocellular vs cholestatic vs mixed patterns, which tests to order, which ones to skip, how to handle isolated alkaline phosphatase elevation, mild, chronic ALT elevation, and even how to interpret liver test abnormalities in pregnancy.

Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #293 at curbsiders.vcuhealth.org!

Credits

Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP
Infographic by: Elena Gibson
Cover Art: Matthew Watto MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com

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CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

Show Segments

Intro, disclaimer, guest bio
Hepatocellular pattern
Cholestatic pattern
Chronic ALT elevation
Isolated Alkaline phosphatase elevation
Liver test abnormalities in pregnancy
Outro

Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only.
0:07.0	And the topics discussed should not be used solely to die in a street cure or prevent
0:09.4	any diseases or conditions.
0:10.4	For the more that you've used, and statements expressed on the podcast are solely those
0:12.1	of those, and should not be interpreted to reflect official policy or position of
0:14.1	painting entity aside from possibly cash like more hospital and affiliate outreach programs.
0:16.9	If indeed there are any, in fact there are none.
0:18.7	Pretty much we aren't responsible if you screw up, you should always do your own homework
0:20.5	and let's know.
0:32.1	Welcome back to the Curbsiders.
0:34.6	I'm Dr. Matthew Wato here with my good friend Paul Williams.
0:37.6	And tonight we're going to be doing a recap of just a fantastic action-packed, pearl-packed
0:44.2	episode where we talked about liver tests.
0:48.3	And Paul were not supposed to say LFTs, but you know, Paul, I'm going to say LFTs for
0:53.5	this because it's just easier.
0:55.9	It's old habits die hard and I liver enzyme tests and lets it just does not roll off
1:00.4	the tongue as much as I'd say.
1:01.4	It's hard.
1:02.4	Sorry, I apologize to you to ask Dr. Tapper.
1:03.8	Paul, would you tell the audience what exactly is it that we do on the Curbsiders?
1:09.3	Sure, happy to.
1:10.9	We are the internal medicine podcast.
	...

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