Understanding abnormal LFTs: the puzzle finally solved

This episode refers to guidelines on the management of abnormal liver function tests by the British Society of Gastroenterology and a number of NHS organisations in the UK. Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by them.

My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through the interpretation of an abnormal liver function tests, always focusing on what is relevant in Primary Care only.

I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the information consulted. You must always use your clinical judgement.

Tracks:

00:00 – Introduction and welcome
00:59 – Causes of liver disease
01:12 – Overview of LFTs
05:56 – When to check LFTs
07:02 – Abnormal LFTs- first steps
08:16 – Patterns of abnormal LFTs
08:49 – Review of BSG flowchart on abnormal LFTs
10:49 – Review of BSG flowchart - NAFLD pathway
12:55 – Review of BSG flowchart – ARLD pathway
14:29 – Liver disease of unknown cause
15:21 – Summary guide
16:13 – Thank you and good-bye

There is a podcast version of this and other videos that you can access here:

Primary Care guidelines podcast:

• Redcircle: https://redcircle.com/shows/primary-c...
• Spotify: https://open.spotify.com/show/5BmqS0O...
• Apple podcasts: https://podcasts.apple.com/gb/podcast...

There is a YouTube version of this and other videos that you can access here:
• The Practical GP YouTube Channel:
https://youtube.com/@practicalgp?si=e...

My summary guide can be downloaded here:
• https://1drv.ms/b/s!AiVFJ_Uoigq0mQ8MR...

The resources consulted can be found here:

BSG- British Society of Gastroenterology:
• bsg.org.uk/clinical-resource/guidelines-on-abnormal-liver-blood-tests
• Guidelines on the management of abnormal liver blood tests (bsg.org.uk)
o First published on:
o BMJ article:
o Guidelines on the management of abnormal liver blood tests | Gut (bmj.com)
Southeast London pathway:
• Microsoft Word - Abnormal liver function test pathway-explanatory.docx (selondonccg.nhs.uk)
North and East Devon pathway:
• Management of Abnormal LFTs in Asymptomatic Adults - North & East (devonformularyguidance.nhs.uk)
North Bristol
• https://www.nbt.nhs.uk/sites/default/...
West Hampshire:
• Liver Blood Test Pathway | GP Portal (westhampshireccg.nhs.uk)
Medscape:
• Liver Blood Tests: How to Interpret Abnormal Results (medscape.co.uk)