Podcast - Understanding abnormal LFTs: the puzzle finally solved Primary Care Guidelines

Podcast description 
The video version of this podcast can be found here:
https://youtu.be/IaId_nNbO-c?si=0FF7A5J7iPxocdBd
This episode refers to guidelines on the management of abnormal liver function tests by the British Society of Gastroenterology and a number of NHS organisations in the UK. Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by them. 
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through the interpretation of an abnormal liver function tests, always focusing on what is relevant in Primary Care only.
I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the information consulted. You must always use your clinical judgement.   
There is a podcast version of this and other videos that you can access here:
Primary Care guidelines podcast: 
·      Redcircle: https://redcircle.com/shows/primary-care-guidelines
·      Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK
·      Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148
There is a YouTube version of this and other videos that you can access here: 
The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk 
My summary guide can be downloaded here:
·      https://1drv.ms/b/s!AiVFJ_Uoigq0mQ8MRxaNYnA1_pzh?e=H2U7rS 
The resources consulted can be found here:
BSG- British Society of Gastroenterology:
·      bsg.org.uk/clinical-resource/guidelines-on-abnormal-liver-blood-tests
·      Guidelines on the management of abnormal liver blood tests (bsg.org.uk)
o  First published on:
o  BMJ article:
o  Guidelines on the management of abnormal liver blood tests | Gut (bmj.com)
Southeast London pathway:
·      Microsoft Word - Abnormal liver function test pathway-explanatory.docx (selondonccg.nhs.uk)
North and East Devon pathway:
·      Management of Abnormal LFTs in Asymptomatic Adults - North & East (devonformularyguidance.nhs.uk)
North Bristol
·      https://www.nbt.nhs.uk/sites/default/files/Investigation%20of%20Adult%20Patients%20with%20Abnormal%20LFT%20in%20Primary%20Care.pdf
West Hampshire:
·      Liver Blood Test Pathway | GP Portal (westhampshireccg.nhs.uk)
Medscape:
·      Liver Blood Tests: How to Interpret Abnormal Results (medscape.co.uk)
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] 
Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through  
Transcript
If you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.
Hello and welcome, I’m Fernando, a GP in the UK. Today we are going to go through the interpretation of abnormal liver function tests or LFTs, including initial follow up management, always focusing on what is relevant in Primary Care only.
And for that I will summarise the British Society of Gastroenterology guidelines on LFTs. They were first published in the BMJ and the relevant links are in the episode description. Although the full guideline covers both adults and children, in today’s episode I will be focusing only on adults. 
At the end, I will also tell you how to access my summary of the recommendations, which will be based not only on the BSG but also on a number of NHS bodies in the UK. The links to them are in the episode description and it’s worth having a look as they have flowcharts and other information that you may find useful. 
Right, there is a lot of information to cover, so let’s jump into it.
The three the most common causes of liver diseas