ROR*1.5*36 Technical Manual - Veterans Affairs
When Alp is the most elevated of the liver enzymes this is called a cholestatic pattern and indicates obstruction in the bile ducts. Look for obstruction in the large or small bile ducts from strictures, stones, tumors or think PBC, PSC. ALT. Marker of liver damage not function. Highest concentration in the liver. Normal range female 20, male 30. ................
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