00:00
Let me show you some examples.
00:02
So, you know, these are the four
enzymes that are found in the liver.
00:05
You know,
what the normal values are.
00:07
These are enzymes that
help break down proteins
and they have a really
important role in liver function
and bone development.
00:14
So they have increased levels,
this could indicate there's an
underlying medical condition
and it probably involves the
liver, the bones,
or the gallbladder.
00:24
So see we use these tests
not just for cholecystitis
that can tell us other things about
what's going on with your patient.
00:31
Now ALT elevations are most
often caused by NAFLD or
non-alcoholic fatty liver disease
or alcoholic liver disease.
00:41
So an ALT is elevated, we know,
we have to rule out and think what's
the implications of liver disease.
00:49
ALP elevations can be an
indication of bone metastasis
in a patient with cancer.
00:55
So my patient may not be
coming in for cholecystitis.
00:58
But if I know they have cancer
and I see that the ALP
levels are going up,
going to start thinking
about metastasis.
01:04
That's when that pain assessment
is so critically important.
01:08
So that wraps up
the liver enzymes.
01:11
I hope the next time you
take a look at those,
you don't let it overwhelm you.
01:16
Take our notes with you,
compare the reasons,
look at the whole
clinical picture,
and you're going to get a great idea
of what's going on in that system.