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crash course on Medical Lab tests

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ugat:
i recommend CREATININE... it's easy & very much relaible.. & accurate to know your kidney's condition..

sixty9:
Question: blood test ba ang creatinine or urine exam?? doc, san ka nagpapractice?
padiscuss naman ALT and AST,. is it right na pag elevated SGPT, usually liver problem, tpos pag SGOT, heart problem naman? tama po ba?

Bonerskinners:
Yup its the blood test, to simply answer your question, SGPT or Serum glutamic pyruvic transaminase, (also known as ALT) and SGOT or serum glutamic oxaloacetic transaminase (also known as AST) are enzymes that are normally present in liver and in heart cells. Their difference:

AST (or SGOT) is normally found in a diversity of tissues including liver, heart, muscle, kidney, and brain. It is released into serum when any one of these tissues is damaged. For example, its level in serum rises with heart attacks and with muscle disorders. It is therefore, neither a highly specific indicator of liver injury nor for heart injuries. So an elevated SGOT doesn't mean that you automatically have a heart problem. A different enzyme is used for that which is more specific for the heart which I would discuss here in this forum one of these days.

ALT (or SGPT) is, by contrast, normally found largely in the liver. This is not to say that it is exclusively located in liver, but that is where it is most concentrated. It is released into the bloodstream as the result of liver injury. It therefore serves as a fairly specific indicator of liver status.

In liver cirrhosis (fatty degenration of liver), ALT/AST ratio is also commonly used by doctors to fairly evaluate the reason for the cirrhosis. A high AST/ALT ratio reflects alcoholic cirrhosis and a a high ALT/AST ratio would reflect a different reason.

Therefore, AST (SGOT) and ALT (SGPT) are sensitive indicators of liver damage or injury from different types of disease. But it must be emphasized that higher-than-normal levels of these liver enzymes should not be automatically equated with liver disease. They may mean liver problems or they may not. For example, elevations of these enzymes can occur with muscle damage or medication induced. The interpretation of elevated AST and ALT levels depends upon the entire clinical evaluation of a patient, and so it is best done by doctors experienced in evaluating liver disease.

sixty9:
how about d 24 hour urine collection? pang test din po ba ng crea un? and tanong ko lang, doc, di ba nakakabaog daw ang xray? wat if kelangan kang i xray, may possibility bang mabaog ka? tnx..

sixty9:
dok, ttanong ko lang din kung nasa magkano ang "skin biopsy" sa ust? sana po pareply sa mga questions.. tnx boner

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