18 - Acute Liver Disease / Hepatitis

GI Diagnostic Code Suggested Waiting Time / Priority Level Referral Information Requirements
  1. Acute Liver Disease / Hepatits
    1. ALT & AST > 1000
    2. >250

a) Emergent
b) Semi-Urgent
  • Medicine History including herbs/remedies/all OTC drug use
  • Symptoms (eg Jaundice, abdominal pain, etc.)
  • DM
  • Alcohol intake
  • BMI
Essential Investigations Timing of essential investigation
  • Liver enzymes: ALT, AST, Alk phos, GGT, LDH
  • Liver function: INR, Total/Direct bilirubin, Albumin
  • Etiological: Hep A, B, C serology, IgG, IgA, IgM, ANA, Anti-smooth muscle antibody, ceruloplasmin, ferritin, transferrin saturation, Alpha 1 antitrypsin level, Monospot
  • CBC, electrolytes, creatinine
  • Previous liver enzymes if available
  • Toxin screen (acetaminophen, cocaine, if applicable)
  • All within 1 month

Fill out the Hepatology Referral Form for your patient in its entirety

Fax completed referral package to


Any concerns or questions please call

Central Referrals: 780-248-1935 ​