👉 احيانا بنطلب من الاهل ان نعمل وظائف كبد وكلى للطفل ( علشان نطمن) 👉 او الام تطلب تعمل تحليل check up للطفل ومن ضمنها وظايف كبد وكلى ( علشان تتطمن) 👉 او هى تيجى وتكون عامله مجموعه من التحاليل من نفسها ومن ضمنها ( وظائف كبد وكلى) ✅ مع العلم إن الطفل طبيعى ومش بيعانى من إى مشاكل صحيه) المشكله الاكبر لو لقينا ان ALT OR AST mild elevated 😱😱😱 السؤال المهم هل practice ده صح ؟! وإمتى نطلب وظايف كبد فى الاطفال الإجابه👇 Controversies in Pediatric Gastroenterology Should We Screen Asymptomatic Children for Liver Enzymes? ⸻ Clinical Dilemma: During a routine check-up, a healthy, asymptomatic child has liver enzymes ordered “just to be safe.” ALT returns mildly elevated. What’s the next step? ⸻ What’s the Controversy? • Routine liver enzyme screening in asymptomatic children is becoming increasingly common, but not universally recommended. • Mild, transient transaminitis is frequent and often benign in children (e.g., post-viral or non-alcoholic fatty liver). • Over-screening leads to unnecessary anxiety, investigations, and referrals without improving outcomes. ⸻ Current Best Practice: • Do not routinely screen liver enzymes in healthy, growing, asymptomatic children unless there’s: • Family history of liver disease • Obesity or metabolic syndrome • Signs like hepatomegaly, jaundice, or growth failure ⸻ Bonus Insight: ALT alone is not a diagnosis — interpret in clinical context. Routine testing in well children may do more harm than good #drmohamedezz #إذكروا_الله ❤ #صلى_على_الحبيب_قلبك_يطيب ❤