Furqaan Ahmed.
Evaluation of abnormal liver tests in an asymptomatic patient.
Med Today Jan ;5(1):16-24.

Abnormal liver tests are often discovered incidentally in asymptomatic individuals who undergo routine liver testing. Mild liver test abnormalities may be of limited clinical significance or may reflect significant underlying liver disease. In the evaluation of a patient with abnormal liver tests, a thorough history, physical examination, and recognition of patterns of liver test abnormalities may help narrow the differential diagnosis and allow focused and cost effective diagnostic testing to identify the most likely cause of liver injury. The most common causes of transaminase elevations include viral hepatitis, nonalcoholic fatty liver disease (NAFLD) and drug and alcohol-induced liver injury. Patients with persistent unexplained liver test abnormalities, advanced liver disease, and liver disease requiring specialized management should be referred to a gastroenterologist. This is a review article.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com