D.D. -
* INFECTIONS LIEK HEPATITIS B- DISEASE, HEPATITIS C- DISEASE, SYPHILIS, SCHISTOSOMIASIS
* CHR ACTIVE HEPATITIS - LUPOID HEPATITIS ( AUTOIMMUNE CHR ACTIVE HEPATITIS )
- DRUGS LIKE ANTICONVULSANTS, OXYPHENACETIN, METHYLDOPA & ANTITUBERCULAR DRUGS
* GENETIC DEFECTS - HAEMACHROMATOSIS, WILSONS DISEASE, GALACTOSAEMIA, GLYCOGEN STORAGE DISEASES, ALPHA-1 ANTITRYPSIN DEFICIENCY
* BILIARY DISEASES - LONG STANDING EXTRAHEPATIC BILIARY OBSTRUCTION, PRIMARY BILIARY CIRRHOSIS, SCLEROSING CHOLANGITIS, CONGENITAL HEPATIC FIBROSIS
* VENOUS CONGESTION - CARDIAC FAILURE, CONSTRICTIVE PERICARDITIS, BUDD-CHIARI SYNDROME
* JEJUNO-ILEAL BYPASS
OTHER TESTS -
* SGPT - > 300 UNITS ARE UNUSUAL & MAY BE DUE TO SOME OTHER CAUSE THAN ALCOHOL
* AST / ALT RATIO > 2 ( SGOT / SGPT ) , S. ALBUMIN DECREASED, GLOBULIN INCREASED, PROTHROMBIN TIME INCREASED, GGTP,TRIGLYCERIDES & CHOLESTROLES, MCV, URIC ACID INCREASED
* CARBOHYDRATE DEFICIENT TRANSFERRIN - HIGH , MORE SPECIFIC THAN GGTP
* PERCUTANEOUS NEEDLE BIOPSY OF LIVER