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diagnosis clinical differential management pocus algorithm causes cardiology video ultrasound physicalexam pharmacology ophthalmology treatment pathophysiology echocardiogram pulmonary neurology msk radiology
Standardized Physical Abuse Guideline <6 months of age • Social work consult • Skeletal survey • Head
survey • Head CT, AST ... , ALT, lipase ... Abdominal CT if AST ... months of age if AST ... of chest trauma
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
, CMV, VZV • Trauma ... to liver than AST ... elevated ALP • AST ... NT: ↑ - ALP > AST ... hematoma) • AST
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis: • Trauma ... CPK 5X ULN • AST ... /ALT Elevation 4 ... :1 ratio (AST declines ... > ALT) • AKI:
Rhabdomyolysis - Differential Diagnosis Framework Rhabdomyolysis = Destruction of skeletal muscle with leakage of contents into circulation.
myoglobin, aldolase, AST ... /ALT, LDH). ... Diagnosis: • Trauma
Liver Chemistry Tests - AST, ALT, Alkaline Phosphatase and Bilirubin Metabolism AST and ALT: • AST: liver
Chemistry Tests - AST ... , ALT, Alkaline ... Bilirubin Metabolism AST ... and ALT: • AST ... liver, 80% of AST
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Hepatocellular Level • AST ... to liver than AST ... elevated ALP • AST ... NT: ↑ • ALP > AST ... • Near normal AST
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
or AST > ALP): ... • Severe - ALT ... • Moderate - ALT ... Pattern (ALP > ALT ... or AST): • US
Features of Components of Liver Function Tests #Diagnosis #IM #GI #LFTs #Liver #Function #Tests #Locations #AlkPhos
Locations #AlkPhos #AST ... #ALT #Ddxof
Liver Function Tests (LFTs) - Aspartate aminotransferase (AST) - Alanine aminotransferase (ALT) - Alkaline
aminotransferase (AST ... aminotransferase (ALT
Gestational Hypertension & Preeclampsia Gestational Hypertension (gHTN) • BP > 140/90 • Onset > 20 wks gestation
Thrombocytopenia • Elevated AST ... /ALT • Pulmonary ... Thrombocytopenia • Elevated AST ... /ALT • Hemolysis
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