11 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Wilsons, Pregnancy - AFLP ... AST): • US - Normal ... Drugs, Infection, Sepsis
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
air on ultrasound ... , reverb in liver ... #Venous #Gas #Air ... #Clinical #POCUS ... #Abdominal #Ultrasound
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... reflection on the differential ... ileus), intra-abdominal ... #hepatology #liver ... #air
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... - Differential ... • Pregnancy - AFLP ... • Drugs • AIH ... disease US — Normal
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... iMedEducation #AFLP
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... - VCU Ultrasound ... #Pneumobilia #air ... #liver #pocus # ... ultrasound #clinical
Portal Venous Gas on Point of Care Ultrasound (POCUS) secondary to Necrotizing Pancreatitis

Adult male with abdominal
Point of Care Ultrasound ... Diagnosis/Differential ... sepsis). ... VenousGas #POCUS #clinical ... #abdominal #ultrasound
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
centrally located air ... result in small air ... Pneumatosis #POCUS #clinical ... #abdominal #ultrasound ... #Liver
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
result in small air ... Mnemonic Portal ... Pneumobilia #POCUS #clinical ... #abdominal #ultrasound ... #Liver
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... hyperhidrosis, hair ... GH stimulates liver ... peripheral (bronchial/abdominal ... Differential Diagnosis