51 results
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
> 20x normal ... Thrombosis 5-10x normal ... muscle 2-5x normal ... transaminitis #differential ... #diagnosis
Dilated Coronary Sinus on POCUS Echocardiogram
Dilated CS can be mistaken as descending thoracic aorta. Know the
Echocardiogram ... echocardiographic normal ... and abnormal appearance ... #PLAX #clinical ... anatomy #cardiology #a4c
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Echocardiogram ... Differential/diagnosis ... #Echocardiogram ... #A4c #clinical
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... Diagnosis Algorithm ... - If both are normal ... function may be abnormal ... #differential #
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
echocardiogram ... What abnormal fluid ... pericardial #effusion #s4c ... #POCUS #echocardiogram ... #POCUS #clinical
Ebstein's Anomaly on Echocardiogram

• Failure of the TV to "de-laminate" from the RV
• An abnormality of
Ebstein's Anomaly on Echocardiogram ... Manifestations • Abnormal ... Ebsteins #Anomaly #A4c ... #Echocardiogram ... #POCUS #clinical
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Hepatic imaging: Normal ... • Histology: Normal-mild ... hepatology #obstetrics #hepatitis ... #comparison #differential ... #diagnosis #icp
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... - Differential ... Diagnosis Algorithm ... disease US — Normal ... • Alcoholic hepatitis
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Check Acute viral hepatitis ... - If both are normal ... of ALP • Near normal ... #chemistry #diagnosis ... #differential #
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
Autoimmune Hepatitis ... disease to acute liver ... hepatocellular pattern of liver ... upper limit of normal ... Anti-LKM & Anti-ALC