Laboratory testing |
ABO-Rh blood typing |
Liver biochemical and function tests (ALT, AST, alkaline phosphatase, bilirubin, INR) |
Sodium |
CBC with differential |
Creatinine clearance |
Serum alpha-fetoprotein |
Serum phosphatidyl ethanol (PEth) |
Calcium and vitamin D levels |
Serologies for CMV, EBV, varicella, HIV, HAV, HBV, HCV, RPR |
Urinalysis |
Urine drug screen |
Cardiopulmonary evaluation |
ECG |
Cardiac stress test (exercise or pharmacologic) if over the age of 40 years or if there are multiple risk factors for coronary artery disease (followed by cardiac catheterization if positive) |
Contrast-enhanced echocardiography |
Pulse oximetry |
Arterial blood gas |
Chest radiography |
Contrast-enhanced chest CT |
Pulmonary function tests with DLCO |
Cancer screening |
Contrast-enhanced abdominal CT scan or MRI to look for hepatocellular carcinoma |
Skin examination |
Colonoscopy (if indicated based on patient's age or risk factors) |
Cervical cancer screening and breast cancer screening for females (if indicated based on patient's age) |
Prostate cancer screening for males (if indicated based on patient's age) |
Infectious disease evaluation |
Skin testing or interferon-gamma release assay for tuberculosis |
Dental evaluation |
Screening for coccidioidomycosis or strongyloides (for patients from endemic areas) |
Psychosocial evaluation |
Psychiatric evaluation |
Social work evaluation |
Patient education seminars |
Evaluation for substance use disorders (drugs or alcohol) |
Other testing |
Bone density scan |
Transabdominal ultrasound with Doppler imaging to assess the hepatic vasculature (if not already assessed with cross-sectional imaging) |
Upper endoscopy in patients with cirrhosis or portal hypertension |
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