Liver Panel Evaluation:  Patient presented for evaluation of abnormal liver function tests (LFTs).  Review of systems reveals possible symptoms including fatigue, abdominal pain or discomfort, nausea, jaundice, dark urine, light stools, pruritus, and loss of appetite.  Past medical history includes (mention specific conditions like diabetes, hepatitis, alcohol use, nonalcoholic fatty liver disease NAFLD, or relevant medications).  Family history is significant for (mention any family history of liver disease).  Physical exam reveals (document findings like hepatomegaly, splenomegaly, ascites, or jaundice).  Initial laboratory results show elevated alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma-glutamyl transferase (GGT), andor total and direct bilirubin levels.  Differential diagnosis includes viral hepatitis, alcoholic liver disease, nonalcoholic fatty liver disease, autoimmune hepatitis, drug-induced liver injury, biliary obstruction, and hereditary hemochromatosis.  Further investigation may include hepatitis serologies, iron studies, imaging studies such as ultrasound, CT scan, or MRI of the abdomen, andor liver biopsy to determine the etiology of the abnormal liver panel.  Patient education provided regarding lifestyle modifications, such as diet and exercise, and the importance of follow-up appointments.  Treatment plan will be determined based on the underlying cause of the abnormal liver panel and may include medications, referral to a gastroenterologist or hepatologist, and ongoing monitoring of liver function tests.