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Table 45-2

Bilirubin Overload (Hemolysis)Parenchymal DysfunctionCholestasis
AminotransferasesNormalIncreased (may be normal or decreased in advanced stages)Normal (may be increased in advanced stages)
Alkaline phosphataseNormalNormalIncreased
BilirubinIncreased unconjugatedIncreased conjugatedIncreased conjugated
Serum proteinsNormalDecreasedNormal (may be decreased in advanced stages)
Prothrombin timeNormalDecreased (may be normal in early stages)Normal (may be prolonged in advanced stages)
Blood urea nitrogenNormalNormal (may be decreased in advanced stages)Normal
Sulfobromophthalein/indocyanine greenNormalRetentionNormal or retention