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Evaluation of the asymptomatic athlete with hepatic and urinalysis abnormalities.

机译:对无症状运动员肝脏和尿液分析异常的评估。

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摘要

In general, there is no reason to evaluate either liver function tests or a urinalysis in asymptomatic athletes. However, at times they are ordered inadvertently, and when abnormal, the provider faces a quandary - ignore or evaluate them. Up to 20% of the liver function tests and urinalyses can be abnormal in the asymptomatic healthy athlete. The key concept for the provider is to quickly, accurately, and economically identify results that are normal variants from those that may be a prelude to a pathologic process. This article will discuss the most common etiologies of these abnormal laboratory tests as well as provide a framework to the follow-up evaluation. Our goal is to aid clinicians in keeping their athletes participating in their sports while at the same time not missing any significant illnesses.
机译:通常,没有理由评估无症状运动员的肝功能检查或尿液分析。但是,有时会无意中订购它们,并且在异常情况下,提供者将面临困境-忽略或评估它们。在无症状的健康运动员中,多达20%的肝功能检查和尿液检查可能异常。提供者的关键概念是快速,准确和经济地从正常的结果中识别出可能是病理过程前奏的结果。本文将讨论这些异常实验室检查的最常见病因,并为后续评估提供框架。我们的目标是帮助临床医生在保持运动员参加运动的同时,不遗漏任何重大疾病。

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