How to check liver aspect disease?

Examining the liver includes general palpation, feeling the size, texture, and smoothness of the surface of the liver; Imaging tests, such as ultrasound, as well as CT and MRI. Endoscopy, hepatobiliary choledochal angiography, etc.

Check the liver generally has the following kinds:

General inspection. Palpation to feel the size, texture, and smoothness of the surface of the liver. Percussion, estimation of hepatopulmonary boundaries and liver size.

Imaging examination: including hepatobiliary ultrasound examination is currently the most common examination of liver, which can preliminarily understand the size of the liver. , texture, whether there is cirrhosis, degree of sclerosis, whether there is cyst, hemangioma, space occupation and metastasis, blood flow and so on to do a preliminary examination. CT, MRI, contrast agent enhanced CT examination can further examine whether there are small lesions in the liver.

Endoscopy, choledochal choledochography, biopsy ultrasound or CT-guided puncture biopsy can be used to understand whether the hepatic bile duct is blocked or not and the pathological conditions of local liver lesions.

Blood tests for liver function, hepatitis A, hepatitis B, hepatitis C and other infections, various transaminases such as glutamate aminotransferase and alanine aminotransferase, etc., bilirubin, including direct and indirect bilirubin, and total bilirubin. There are various proteins including albumin, globulins, protein ratios and so on. The level of these indicators reflects the condition of liver function, and determines whether the liver cells are damaged and whether the hepatobiliary duct is blocked. An immune marker, alpha-fetoprotein, can be used to check for possible primary liver cancer.