how sensitive are LFTs for liver injury in patients presenting >24 hours post injury?

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if there is any liver lesion after couple of days it should be marked on
LFTs...

2008/11/11 Rob Ojala <Rob.Ojala at cdhb.govt.nz>

>
> Colleagues -[ I realise this may have been previously discussed so
> perhaps point me towards the archives] but...does anyone have at their
> finger tips  evidence on the following scenario...
>
>
>
> Patient presents to ED X-number of days post-moderate RUQ injury with
> ongoing or perhaps mildy increasing R-sided pain [as opposed to sudden
> exacerbation]...and has tender  R upper zone without frank signs, a
> negative F.A.S.T scan and normal bloods including LFTs. I am aware of
> the inadequate sensitivity of LFTs in the patient presenting shortly
> after injury - but what is their sensitivity after 24 hours or 48 hours?
>
>
>
>  I guess the question is driven by CT radiation exposure in the
> paediatric population - but is applicable to adults
>
>
>
> And ancillary question would be for a LUQ injury scenario for
> sub-capsular splenic injury [given management is 72 hours bedrest] -
> other than advice about contact sports etc is their benfit in CT for
> those presenting 4 days or 7 days post-injury?
>
>
>
> Many thanks
>
> Rob Ojala
>
>
>
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>
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