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Diagnostic Tests
| Question | Answer |
|---|---|
| Radiographic exam with fluoroscopy to locate obstruction, ulceration, or growths in the esophagus, stomach, and duodenum | Upper GI series (UGI) |
| Radiographic exam of the colon using fluoroscopy to locate tumors, obstruction, and ulceration | Barium enema (BE) (lower GI tract radiography) |
| To detect tumors, abscesses, trauma, cysts, inflammation, and bleeding | (CT)—abdomen |
| Noninvasive method of determining whether there are polyps or abnormalities in the colon | Virtual colonoscopy (CT colonography) |
| To evaluate abnormalities in the liver or other abdominal structures. | (MRI) with or without contrast |
| To diagnose gallstones, tumor, cysts, abscess, etc. | Ultrasonography |
| To determine bile flow distribution in the liver, biliary tree, gallbladder, and proximal small bowel To confirm acute cholecystitis | Hepatobiliary scintigraphy (hepatic iminodiacetic acid [HIDA] scan) |
| To determine site of active GI bleeding. Used primarily for lower GI bleeding. | GI scintigraphy |
| To directly view the lining of the colon with a flexible endoscope | Colonoscopy |
| To remove a tissue sample for microscopic examination and diagnosis of various liver disorders | Liver biopsy |
| Tests for occult blood. Used as a colon cancer screening tool. | Guaiac fecal occult blood test (gFOBT) |
| Stool is examined microscopically for the presence of bacteria, fungi, viruses, or parasites | Stool culture |
| To detect abnormal bilirubin metabolism | Serum bilirubin |
| when bilirubin is >2.5 mg/dL what does this indicate | jaundice |
| An enzyme used to detect liver disease | Alanine aminotransferase (ALT) |
| (ALT) Normal value | 4–36 international units/L |
| An enzyme found in heart, liver, and muscle tissue To detect acute hepatitis or biliary obstruction | Aspartate aminotransferase (AST) normal range: 0–35 units/L |
| Enzyme found in bone, liver, and placenta To detect liver tumor in conjunction with other clinical findings Rises when there is obstruction of biliary tree | Alkaline phosphatase (ALP) |
| A product of protein metabolism To support diagnosis of severe liver disease with encephalopathy | ammonia normal range: 10–80 mcg/dL |
| To detect liver cell dysfunction, biliary obstruction, cholangitis, or cholecystitis | Gamma-glutamyl transferase (GGT) |
| to detect altered protein metabolism Decreased in liver failure | Total protein normal range: 6.4–8.3 g/dL |
| To detect altered protein metabolism | Albumin normal range: 3.5–5.5 g/dL |
| Protein produced by the liver and used in blood clotting | Prothrombin time (PT) Normal range: 11.0–12.5 sec |
| To detect antibodies to H. pylori bacterium in the stomach | Helicobacter pylori antibody test |