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A member asked:
How to diff b/w cbd infection, cholangitis & choledocholithiasis when looking at labs? any spec. parts of lft to look 4 that are < or > in each case?
5 doctors weighed in across 2 answers
Labs in biliary dz: Labs offer only one window into the disease process that's going on. So your question can't really be answered. The liver profile (LFTs) contains Alkaline Phosphatase which is a surface enzyme of the cells lining the biliary tree- that should be elevated. GGT is another surface enzyme that should be elevated, but it's not a routine part of the LFTs. Imaging tests and other clinical info is needed.
Answered 6/9/2014
4k views
Need more info: generally elevated direct and total bilirubin is a sign of common bile duct obstruction, which is sometimes associated with cholangitis (fever, elevated white blood count, and pain) but radiologic tests are needed to make a diagnosis
Answered 6/9/2014
4k views
Related Questions
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Is a CBD stent capable of keeping the bile duct open for only 12 months? Will it lead to infections like Acute Cholangitis if the stent is kept for more than 12 months?
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A member asked:
Mild abdominal pain, ultrasound suggested a stone in CBD. No jaundice and LFTs normal. Getting ERCP soon. Just want to know, since there is no jaundice and only mild abdominal pain, does it mean the obstruction is not causing harm to the liver yet?
2 doctors weighed in across 2 answers
A member asked:
What causes enlarged liver (20.5cm) with normal LFTs? Only abnormal labs in ER were low creatinine (0.5) and low BUN (5). No masses on CT. 24yo, BMI 25, no etoh. What should I ask my dr next week?
6 doctors weighed in across 4 answers
People also searched for:
My brother had choledocholithiasis and one episode of mild acute Cholangitis. So, 25 days later after his first symptoms he got the ERCP treatment. CBD is now clear. Will the amount of time taken (25 days) for treatment cause liver cirrhosis to him?
My brother had Choledocholithiasis and one episode of mild acute Cholangitis. So after 25 days of his first symptoms he got an ERCP treatment. Will the amount of time taken (25 days) for the treatment cause liver cirrhosis to him in the future?
My brother had a stent placed in the CBD 10 years ago and till today he has shown no symptoms of stent blockage. There is also no Acute Cholangitis. His LFTs are normal. Does this indicate the stent is fully functional?
I had a mild upper right abdominal pain, an ultrasound report showed the presence of a stone in my CBD but no jaundice or acute cholangitis yet. Does this indicate that though a stone is there but it is not obstructing the bile flow yet?
Can one episode of Cholangitis and a short duration of bile duct obstruction (Choledocolithiasis) cause liver cirrhosis? The patient is my brother who otherwise had no liver issue in the past. He is non-alcoholic. His LFTs are now normal post ERCP?
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