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diagnosis clinical management differential pocus cardiology radiology algorithm video physicalexam ultrasound lung treatment pharmacology causes echocardiogram neurology pathophysiology radiologyassistant msk
Gestational Hypertension & Preeclampsia Gestational Hypertension (gHTN) • BP > 140/90 • Onset > 20 wks gestation
Thrombocytopenia • Elevated AST ... /ALT • Pulmonary ... Thrombocytopenia • Elevated AST ... /ALT • Hemolysis
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework LDH is a cytoplasmic enzyme present in tissues throughout
Legionnaires disease • Pulmonary ... ischemic hepatitis (ALT-to-LDH ... viral hepatitis (ALT-to-LDH
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
progressing GN • New pulmonary ... MPO > PR3) • Pulmonary ... Granulomas, IgE, pulmonary ... Multiplex, Elevated AST ... ALT • Hypocomplementemia
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
R-value: Serum (ALT ... /ULN ALT) / (Alk ... • AST/ALT > ALP ... > AST/ALT: typical ... Kidney, Brain • ALT
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
computations online at ... → ↓ → →↑ Pulmonary ... +2PDP)/3 Mean Pulmonary ... mmHg (glob*1.4)+(alb ... (<(1)-(6.87535*alt
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Hepatocellular Pattern (ALT ... • Severe - ALT ... • Moderate - ALT ... Others • Mild - ALT ... > ALT or AST):
Liver Function Test (LFTs) Elevation AST - Cardiac and skeletal muscle, kidney, brain ALT - More specific for
LFTs) Elevation AST ... kidney, brain ALT ... Alkaline Phosphatase, ALT ... ULN R Value = (ALT ... / ULN ALT) / (ALP
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
to liver than ALT ... • ALT: Specific ... • AST/ALT > ALP ... : ↑ • ALT: ↑ ... kidney, brain • ALT
Liver Enzymes (LFTs) - Causes of Hepatocellular and Cholestatic Liver Injury Hepatocellular Liver Injury • AST/ALT elevation
Liver Injury • AST ... /ALT elevation > ... Alk phos • ALT ... • R value = (ALT ... + ULN ALT) / (alkaline
Causes of Orthopnea - Differential Diagnosis Framework • Fear and Anxiety • Pleural Effusion • Ascites
Noncardiogenic pulmonary ... - Cardiogenic pulmonary ... Diaphragmatic pulmonary ... - CNS lesion: ALS ... Diagnosis #Causes #pulmonary
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