I always keep this pdf, found on searching the internet in response to a case for comment in the past, on a handy networked drive - see slide 17 for the scenario you are describing with some common sense on slide 19.
It may be from 2005 but I think the messages seem to be the same.
Fiona
Dr Fiona Ivison FRCPath
Prinicipal Clinical Biochemist
Department of Clinical Biochemistry
Central Manchester University Hospitals NHS Foundation Trust
CSB 3, Oxford Rd, Manchester, M13 9WL
Tel: 0161 701 11728 or 07806 883960
Fax: 0161 276 4773
E-mail: [log in to unmask]
www.cmft.nhs.uk Central Manchester University Hospitals NHS Foundation Trust includes: Manchester Royal Infirmary, Manchester Royal Eye Hospital, Royal Manchester Children's Hospital, Saint Mary's Hospital, University Dental Hospital of Manchester, Trafford Hospitals and Community Services.
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Soha Zouwail
Sent: 13 November 2012 15:00
To: [log in to unmask]
Subject: Isolated raised serum ALT
Dear all
May I ask what comments you add to isolated raised serum ALT and which tests to do you suggest- Do you ask for all batteries of tests to exclude different causes? Do you have certain cut-offs for different suggestions? I know that fatty liver is a disease of exclusion but as it is becoming very common, it creates a significant cost to labs. Our gasteroenterologists have suggest to our GPs to add AFP among investigations.
Thank you
Best Wishes
Soha
Soha Zouwail
Consultant Chemical Pathology
University Hospital of Wales
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical community working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
Privacy and Confidentiality Notice: The information contained in this e-mail is intended for the named recipient(s) only. It may contain privileged and confidential information. If you are not an intended recipient, you must not copy, distribute or take any action in reliance on it. If you have received this e-mail in error, we would be grateful if you would notify us immediately. Thank you for your assistance.
Please note that e-mails sent or received by our staff may be disclosed under the Freedom of Information Act (unless exempt).
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical community working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
|