
RELATION OF LIVER FUNCTION TO CIRRHOSIS OF LIVER AND TO ALCOHOLISMCOMPARISON OF RESULTS OF LIVER FUNCTION TESTS WITH DEGREE OF ORGANIC CHANGE IN CIRRHOSIS OF LIVER, AND WITH RESULTS OF SUCH TESTS IN PERSONS WITH ALCOHOLISM WITHOUT CIRRHOSIS OF LIVER
H. B. CATES, M.D.
Arch Intern Med. 1941;67(2):383-398.
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The value of liver function tests remains in doubt. Too frequently the physician who is confronted by a difficult problem in diagnosis has liver function tests made when they are not indicated and is then left in confusion as to what interpretation to place on the results when they have been obtained. In this paper an effort is made to correlate the results of function tests with anatomic changes in the liver. In all except 1 of the cases studied, the diagnosis of cirrhosis of the liver was confirmed by examination with the peritoneoscope.1 In all but 3 instances, a piece of the liver was removed for microscopic examination, which made it possible to compare the results of function tests with the severity of the lesion as determined by the pathologist. Classification of the changes found by the pathologist as chronic or subacute cirrhosis is purely arbitrary. The diagnosis
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Author Affiliations
LOS ANGELES
From the Department of Medicine of the University of Southern California School of Medicine and the medical service of the Los Angeles County Hospital.
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