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-care-guidelines • Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK • Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 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=ecJGF5QCuMLQ6hrk My summary guide can be downloaded here: • https://1drv.ms/b/s!AiVFJ_Uoigq0mQ8MRxaNYnA1_pzh?e=H2U7rS 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/files/Investigation%20of%20Adult%20Patients%20with%20Abnormal%20LFT%20in%20Primary%20Care.pdf West Hampshire: • Liver Blood Test Pathway | GP Portal (westhampshireccg.nhs.uk) Medscape: • Liver Blood Tests: How to Interpret Abnormal Results (medscape.co.uk)