Mr. E’s physician should
order a serum aspartate aminotransferase(AST) and alanine aminotransferase(ALT)
test.  The results from these lab tests
should be taken into a ration called the (AST/ALT). AST/ALT ratios greater than
3 are highly suggestive of ALD.1 It
should be noted, however, when performing these labs that ALT levels greater
than 200 IU/L or AST levels greater than 500 IU/L are not commonly and may
suggest another pathology.1 Another
common lab test, gamma glutamyl transferase(GGT) lab, can be used to determine
chronic alcoholism.1 Yet, if the physician
would like a more specific lab screening that would detect daily ingestion of
alcohol, the carbohydrate deficient transferrin(CDT) lab should be ordered as


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