19 results
Clinical diagnosis of Alcoholic Hepatitis (AH)
 • Onset of jaundice within prior 8 weeks
 • Ongoing
Clinical diagnosis of Alcoholic ... or 60 (male) g alcohol ... • Uncertain alcohol ... denies excessive alcohol ... #diagnosis #Alcoholic
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... - NAFLD, Alcohol ... - PBC, PSC, Alcoholic ... LFTs #Elevated #Abnormal ... Algorithm #diagnosis #hepatology
Alcoholic Hepatitis - Management Algorithm
1. Severity assessed not only by MDF (>32) but also by MELD
Alcoholic Hepatitis ... survival in severe AH ... Niriella @madunil #Alcoholic ... Algorithm #treatment #hepatology
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
• NAFLD • Alcohol ... disease US — Normal ... Ducts • PSC • Alcoholic ... Others #LFTs #Hepatology
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Levels: > 50x normal ... Infection (EBV/CMV), Alcoholic ... muscle 2-5x normal ... AST:ALT > 2.5 - Alcoholic ... Liver #Injury #hepatology
Etiologies of Folate Deficiency
 • Decreased dietary intake - uncommon in this era
 • Increased requirements
Alcohol - Alcohol ... Alcoholics have ... Alcoholics have ... tissue stores with normal ... differential #diagnosis #hematology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... initial response to abnormal ... aminotransferase; ARLD, alcohol-related ... dehydrogenase; NAFLD, non-alcoholic ... #Algorithm #Hepatology
Diagnostic Framework for Anemia (Morphological Approach - MCV)
Low MCV - <80fL - "Microcytic"
 • Iron deficiency
some patients) Normal ... Non-megaloblastic: Alcohol ... independent of alcohol ... diagnosis #causes #hematology
Hodgkin's Lymphoma vs Non-Hodgkin's Lymphoma - Comparison

Hodgkin's Lymphoma:
 • Epidemiology: young adults 20-30, older 50-70
 •
Pel-Ebstein fever - Alcohol-induced ... also arise in normal ... NonHodgkins #comparison #oncology ... #differential #hematology
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
hypertension 1 A Abnormal ... agent, NSAID 1 Alcohol ... AFib #Diagnosis #Hematology