A Hepatic (Liver) Panel is used for to screen for, detect, evaluate, and monitor for liver inflammation and damage.  Included in this test:

-ALT/SGPT-A very high level of ALT is frequently seen with acute hepatitis. Moderate increases may be seen with chronic hepatitis. People with blocked bile ducts, cirrhosis, and liver cancer may have ALT concentrations that are only moderately elevated or close to normal.

-Albumin-Albumin is often normal in liver disease but may sometimes be low due to decreased production.

-Alkaline Phosphatase-ALP may be significantly increased with obstructed bile ducts, liver cancer, and also with bone disease.

-AST/SGOT-A very high level of AST is frequently seen with acute hepatitis. AST may be normal to moderately increased with chronic hepatitis. In people with blocked bile ducts, cirrhosis, and liver cancer, AST concentrations may be moderately increased or close to normal. When liver damage is due to alcohol, AST often increases much more than ALT (this is a pattern seen with few other liver diseases). AST is also increased after heart attacks and with muscle injury.

-Bilirubin Direct and Total-Bilirubin is increased in the blood when too much is being produced, less is being removed, due to bile duct obstructions, or to problems with bilirubin processing. It is not uncommon to see high bilirubin levels in newborns, typically 1 to 3 days old.

-Protein Total-Total protein is typically normal with liver disease