{"id":16177,"date":"2023-08-01T11:11:00","date_gmt":"2023-08-01T10:11:00","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=16177"},"modified":"2025-05-08T09:38:36","modified_gmt":"2025-05-08T08:38:36","slug":"asymptomatic-abnormal-lfts","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/radiology\/asymptomatic-abnormal-lfts\/","title":{"rendered":"Asymptomatic abnormal LFTs"},"content":{"rendered":"\n<p><strong>Information<\/strong><\/p>\n\n\n\n<p>Full guidance about the investigation and management of asymptomatic patients with abnormal LFTs can be found on this page:  <\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/abnormallftsincfib4score\/\">Abnormal LFTs inc Fib4 Score \u2013 RefHelp (nhslothian.scot)<\/a><\/p>\n\n\n\n<p>In asymptomatic patients, an ultrasound is&nbsp;<strong>usually not indicated<\/strong>,&nbsp;although other investigations may still be appropriate.<\/p>\n\n\n\n<p>Please use this flowchart to help decide whether to refer for ultrasound or not.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"9522\" height=\"12151\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Abnormal-lft-flowchart-2.png\" alt=\"Abnormal lft flowchart\" class=\"wp-image-16090\" \/><figcaption><span class=\"media-credit\">NHS Lothian<\/span><\/figcaption><\/figure>\n\n\n\n<p><strong>J.B. &amp; S.G. 01-08-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><strong>For all Radiology requests: Referrers accept responsibility for dealing with the result(s) and informing the patient as necessary.<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p>For patients that need an US (as indicated above in the flow chart), use the dedicated Sci Gateway pathway<\/p>\n\n\n\n<p>Sci gateway &gt; Clinical Radiology &gt; LI US AsymptomaticabnormalLFTs<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RCR-Abstract-Reformat.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/RCR-Abstract-Reformat.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">RCR-Abstract-Reformat.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Information Full guidance about the investigation and management of asymptomatic patients with abnormal LFTs can be found on this page: Abnormal LFTs inc Fib4 Score &ndash; RefHelp (nhslothian.scot) In asymptomatic patients, an ultrasound is&nbsp;usually not indicated,&nbsp;although other investigations may still be appropriate. Please use this flowchart to help decide whether to refer for ultrasound or<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4356,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[976],"class_list":["post-16177","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-asymptomatic-abnormal-lfts"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/radiology\/https-apps-nhslothian-scot-refhelp-asymptomatic-abnormal-lfts\/\" rel=\"tag\">Asymptomatic abnormal LFT's<\/a>","rttpg_excerpt":"Information Full guidance about the investigation and management of asymptomatic patients with abnormal LFTs can be found on this page: Abnormal LFTs inc Fib4 Score &ndash; RefHelp (nhslothian.scot) In asymptomatic patients, an ultrasound is&nbsp;usually not indicated,&nbsp;although other investigations may still be appropriate. Please use this flowchart to help decide whether to refer for ultrasound or","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16177","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=16177"}],"version-history":[{"count":10,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16177\/revisions"}],"predecessor-version":[{"id":23937,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16177\/revisions\/23937"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4356"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=16177"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=16177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}