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Diagnostic Tests for Liver pain

Diagnostic Test list for Liver pain:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Liver pain includes:

  • Physical examination
    • General appearance - looking for jaundice, signs of recent weight loss, physical distress.
    • Inspect the abdomen for generalized distension which may indicate ascites (collection of fluid in the abdominal cavity). If ascites is associated with tender liver may indicate Budd-Chiari syndrome (hepatic vein thrombosis) or right heart failure
    • Palpate the liver - to assess liver tenderness, size of the liver, to detect liver pulsatility and to feel the liver edge. A tender liver may be due to hepatitis, rapid liver enlargement (due to right heart failure or Budd-Chiari syndrome), hepatocellular cancer or hepatic abscess. A pulsatile liver that is also tender would suggest hepatocellular cancer.
    • Palpate the rest of the abdomen including gallbladder, spleen, kidneys and bowel - e.g. if liver is tender and enlarged and spleen is also enlarged would suggest acute viral hepatitis.
    • Examine lungs and heart system
  • Blood tests
    • Full blood count and ESR
    • Electrolytes and renal function tests
    • Liver function tests with Bilirubin level
    • Viral serology for Hepatitis A, B and C
    • CMV, EBV and leptospirosis serology
    • Alpha 1 - fetoprotein will help diagnose primary liver cancer.
    • ANA autoantibodies and smooth muscle antibody, if suspect lupus hepatitis
    • Blood cultures- if there are chills and fever
    • Amoebic fluorescent antibody titre (FAT) is positive in at least 90% of people with liver abscesses due to Entamoeba
  • Urine tests
    • Urine analysis and microscopy - Look for Bilirubin present in jaundice.
  • Radiological investigations
    • Ultrasound of Upper abdomen which may detect hepatocellular cancer, liver abscess, Budd-Chiari syndrome
    • CT Abdomen may be required for further localization of ultrasound findings
    • Radioisotope scan of liver will show a filling defect of hepatocellular cancer
    • Hepatic venography may demonstrate the obstructed vein in Budd-Chiari syndrome
    • Chest X-ray for evidence of right ventricular heart failure
    • Echocardiogram, to assess valvular disease if suspect right heart failure
  • Liver biopsy - may be required to establish diagnosis is some circumstances.
  • ECG and cardiac enzymes - to rule out.

Home Diagnostic Testing

These home medical tests may be relevant to Liver pain causes:

Conditions listing medical symptoms: Liver pain:

The following list of conditions have 'Liver pain' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Liver pain or choose View All.

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