Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care

As primary care providers, it is part of our routine job scope to review laboratory result of patient come for medical screening or chronic disease follow up. It is quite common to receive a medical report of mildly deranged liver enzymes that most of us tend to treat conservatively in low risk and...

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Main Authors:	Shalihin, Mohd Shaiful Ehsan, Mukhali, Hassan Basri, Nik Anuar, Nik MohdNurhafizi, Mohd, Zailani, Anuar, N Aiman
Format:	Conference or Workshop Item
Language:	English English
Published:	2018
Subjects:	R Medicine (General) RA Public aspects of medicine RD Surgery
Online Access:	http://irep.iium.edu.my/65396/ http://irep.iium.edu.my/65396/ http://irep.iium.edu.my/65396/1/FMSA%202018%20Liver%20Shaiful%20Ehsan%20%26%20Hassan%20latest%207.pdf http://irep.iium.edu.my/65396/13/Program%20book%20and%20abstract.pdf

id	iium-65396
recordtype	eprints
spelling	iium-653962018-09-05T07:09:52Z http://irep.iium.edu.my/65396/ Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri Nik Anuar, Nik MohdNurhafizi Mohd, Zailani Anuar, N Aiman R Medicine (General) RA Public aspects of medicine RD Surgery As primary care providers, it is part of our routine job scope to review laboratory result of patient come for medical screening or chronic disease follow up. It is quite common to receive a medical report of mildly deranged liver enzymes that most of us tend to treat conservatively in low risk and asymptomatic patients. The dilemma is how mildly elevated is considered mild and safe. Indeed, a further assessment is still required. We report a case of a focal nodular hyperplasia in a 31-year-old gentleman who is clinically asymptomatic, with isolated mildly elevated alkaline phosphatase (ALP). He benefited an ultrasound liver which showed dilated common bile duct. Subsequent CT scan favors diagnosis of fibrolamellar carcinoma and he was managed well with surgical intervention. We would like to report a case of liver tumor detected at a primary care clinic based on an incidental finding of mildly elevated ALP. 2018-08-03 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/65396/1/FMSA%202018%20Liver%20Shaiful%20Ehsan%20%26%20Hassan%20latest%207.pdf application/pdf en http://irep.iium.edu.my/65396/13/Program%20book%20and%20abstract.pdf Shalihin, Mohd Shaiful Ehsan and Mukhali, Hassan Basri and Nik Anuar, Nik MohdNurhafizi and Mohd, Zailani and Anuar, N Aiman (2018) Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care. In: 21st Family Medicine Scientific Conference 2018, 2nd-4th August 2018, Ipoh Convention Center, Perak. (Unpublished) http://www.fmsconference.net/2018/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	R Medicine (General) RA Public aspects of medicine RD Surgery
spellingShingle	R Medicine (General) RA Public aspects of medicine RD Surgery Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri Nik Anuar, Nik MohdNurhafizi Mohd, Zailani Anuar, N Aiman Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care
description	As primary care providers, it is part of our routine job scope to review laboratory result of patient come for medical screening or chronic disease follow up. It is quite common to receive a medical report of mildly deranged liver enzymes that most of us tend to treat conservatively in low risk and asymptomatic patients. The dilemma is how mildly elevated is considered mild and safe. Indeed, a further assessment is still required. We report a case of a focal nodular hyperplasia in a 31-year-old gentleman who is clinically asymptomatic, with isolated mildly elevated alkaline phosphatase (ALP). He benefited an ultrasound liver which showed dilated common bile duct. Subsequent CT scan favors diagnosis of fibrolamellar carcinoma and he was managed well with surgical intervention. We would like to report a case of liver tumor detected at a primary care clinic based on an incidental finding of mildly elevated ALP.
format	Conference or Workshop Item
author	Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri Nik Anuar, Nik MohdNurhafizi Mohd, Zailani Anuar, N Aiman
author_facet	Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri Nik Anuar, Nik MohdNurhafizi Mohd, Zailani Anuar, N Aiman
author_sort	Shalihin, Mohd Shaiful Ehsan
title	Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care
title_short	Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care
title_full	Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care
title_fullStr	Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care
title_full_unstemmed	Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care
title_sort	isolated mildly elevated alkaline phosphatase (alp) - a liver tumor hint not to be missed at primary care
publishDate	2018
url	http://irep.iium.edu.my/65396/ http://irep.iium.edu.my/65396/ http://irep.iium.edu.my/65396/1/FMSA%202018%20Liver%20Shaiful%20Ehsan%20%26%20Hassan%20latest%207.pdf http://irep.iium.edu.my/65396/13/Program%20book%20and%20abstract.pdf
first_indexed	2023-09-18T21:32:47Z
last_indexed	2023-09-18T21:32:47Z
_version_	1777412622594867200

Isolated mildly elevated Alkaline Phosphatase (ALP) - a liver tumor hint not to be missed at primary care

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