These laboratory elevations, however, do not take place only because of liver problems. For example, rhabdomyolysis may lead to a similar outcome. In any event, some of these patients will present to the health care facility without any complaint. It is important that the clinician investigate these situations regardless of how benign they seem [1, 2].
These scenarios, therefore, require a thorough history and physical examination. The history must include questions about non-prescription drugs and herbal remedies. Of course, the medical doctor has to inquire about medications that other physicians have administered to the patient. It is well-known that illicit drugs may lead to liver function test abnormalities [1, 2].
Viral hepatitis is an infirmity which clinicians have studied for many decades. The health care team has to consider blood transfusions, unprotected sex, organ transplant, perinatal transmission, and travel to parts of the world as possible causes. One must also remember that health care employees are at risk for it [1, 2].
Inquiry about medications which clients take can entail quite a long list. Other well-known infirmities to consider are non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis. There may be 100 million people in the United States with NAFLD
Another important item is the occurrence of aminotransferase elevation during the third trimester of pregnancy. The tests can also be abnormal with physical exercise [1, 2].