A practical guide for non-hepatologists who encounter abnormal liver test results in patients

The Liver in Systemic Disease offers readers an easy-to-use and authoritative guide for non-hepatologist health care professionals who need guidance on the management of patients with abnormal liver tests. The book provides authoritative definitive advice for when further investigation or changes in management are indicated.

With a practical focus throughout the text, the authors explore when and how to investigate and manage patients whose primary disease is non-hepatic but whose liver tests are unexpectedly abnormal. The Liver in Systemic Disease relies heavily on flow diagrams and advice on process, together with updates on the liver diseases non-hepatologists are most likely to encounter.

Take-home primers included in the book shine a light on best practice and recommended procedures when dealing with abnormal liver test results. The book also provides:

• A thorough introduction to evaluate the liver, including serum liver tests, liver imaging, and liver biopsy
• Comprehensive discussions of practical issues in patients with liver abnormalities, including the diagnosis of drug induced liver injury, prescribing in patients with abnormal liver tests, and more
• Practical discussions of the management of patients with unexplained abnormal liver tests in primary care
• In-depth examinations of secondary care management of patients with unexplained abnormal liver tests, including intensive care, and the care of infectious and immunosuppressed patients

The Liver in Systemic Disease is an indispensable resource for non-hepatologist medical practitioners seeking to understand the implications of abnormal liver tests and who wish to know when further investigation or alteration of management is indicated.

Gideon Hirschfield is a practicing Hepatologist and holds the Lily and Terry Horner Chair in Autoimmune Liver Disease Research at the Toronto General Hospital. He is also Professor of Medicine in the Division of Gastroenterology and Hepatology at the University of Toronto.

Paramijit Gill is a practicing general practitioner and Professor of General Practice at the University of Warwick.

James Neuberger is a consultant physician at Queen Elizabeth Hospital, Birmingham, University Hospitals Birmingham NHS Foundation Trust.

Preface

Section 1 Introduction

1 Liver Tests

Section 2 Take-Home Primers: Managing The Patient with Unexplained Abnormal Liver Tests

2 Primary Care

Section 3 Take-Home Primers: Managing The Patient With Unexplained Abnormal Serum Liver Tests In Secondary Care

3 Global Perspective

4 Intensive Care

5 Infections Affecting The Liver In Immuno

6 The Post-Operative Patient

7 Pregnancy

8 Endocrinology And Metabolic Diseases (Including Diabetes)

9 Abnormal Serum Liver Tests In Cardiac Disease

10 Respiratory Disease

11 Gastroenterology

12 Renal medicine

13 Dermatology

14 Oncology

15 Haematology

16 Mental health & Neurology

17 Non-alcoholic Fatty Liver Disease (NAFLD)

Section 4 Practical Issues In Patients With Liver Abnormalities

18 Prescribing In Patients With Abnormal Liver Tests Or Liver Disease - A Pragmatic Approach

19 Invasive Procedures In Those With Liver Disease

20 Diagnosing Drug Induced Liver Injury

Index