4 results
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
> 20x normal - Acute ... normal - Hemolysis, NASH ... Injury #hepatology #LFTs ... #transaminitis ... #differential #diagnosis
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Interpretation of LFTs ... Hemolysis #liver #chemistry ... #diagnosis #differential ... #Hepatology #transaminitis ... #LFTs #RValue #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Culture (+): Acute ... night sweats, fever ... Marantic (NTBE) Differential ... Persistent bacteremia/fevers
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... involves aortic and mitral ... Culture Positive: • Acute ... night sweats, fever ... #Differential #