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This article explores the clinical significance of abnormal liver tests, emphasizing their relevance in inpatient settings. It highlights the importance of using local laboratory reference ranges and defining various types of liver injury. The discussion extends to the impact of liver diseases such as Alcoholic Liver Disease (ALD), Metabolic Associated Steatotic Liver Disease (MASLD), Hepatitis B (HBV), and Hepatitis C (HCV), which contribute significantly to mortality rates. Additionally, it...