29 results
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
Focus on prior Liver ... US - Prior liver ... of hypotension, shock ... , sepsis, GIB etc ... Calling #Referral #Hepatology
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Injury - Differential ... Hepatic Artery: Shock ... • Infectious: Sepsis ... #Injury #Differential ... Acute #algorithm #hepatology
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis: Sepsis ... bowel, Hemorrhagic shock ... Hypoperfusion, Cardiogenic shock ... Lactic Acidosis: Liver ... TypeB #diagnosis #differential
Elevated Liver Function Tests (LFTs) - Differential Diagnosis Framework
Mild (<100-500): 
 • NAFLD
 • Cirrhosis
 •
Elevated Liver Function ... Tests (LFTs) - Differential ... Ischemic Hepatopathy (shock ... #Tests #LFTs #Differential ... #Diagnosis #hepatology
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... DISTRIBUTIVE 66% • Sepsis ... insufficiency, liver ... Cold and Dry #Shock ... Classification #diagnosis #differential
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential ... / Low SVR • Sepsis ... Insufficiency, Liver ... Classification #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... Insufficiency, Liver ... Dehydration Shock ... #Differential #
Elevated Transaminases / Transaminitis - Differential Diagnosis

 • Infectious: HAV, HCV, HEV, EBV, HSV, CMV
 •
Transaminitis - Differential ... HELLP • Trauma: Shock ... liver • Metabolic ... Transaminases #hepatitis #Differential ... Diagnosis #causes #hepatology
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
) • Advanced Liver ... Acute DIC - Septic shock ... Summary #table #comparison ... #diagnosis #hematology
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... - Differential ... Drugs • TPN • Sepsis ... Others #LFTs #Hepatology ... #LiverEnzymes #Differential