28 results
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
Lateral Sclerosis (ALS ... ) Summary ALS: combination ... (1) limb-onset ALS ... conditions listed in differential ... neurology #diagnosis #management
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
form part of the differential ... within itself as ... UMN lesions are ... and a positive Babinski ... @DharSaty #UMN
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
Generalized Weakness - Differential ... Infection • Neuro: UMN ... stroke, tumor), LMN ... Polyneuropathy, ALS ... Generalized #Weakness #Differential
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... >15X ULN ... < 5x ULN ... LFTs #Elevated #Abnormal
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Liver Enzymes - Differential ... > 15x ULN • Viral ... 5-15x ULN • Viral ... disease US — Normal ... #LiverEnzymes #Differential
Liver Enzymes (LFTs) - Causes of Hepatocellular and Cholestatic Liver Injury
Hepatocellular Liver Injury
 • AST/ALT elevation
Injury • AST/ALT ... elevation > Alk ... + ULN ALT) / (alkaline ... phosphatase + ULN ... Transaminitis #diagnosis #differential
Liver Chemistries - Interpretation of LFTs

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

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
upper limit of normal ... Hepatitis (eg Viral) Management ... + AST > 10x ULN ... 5x ULN AND IgG ... AIH #Diagnosis #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Calculate absolute PMN ... count (total WBC x PMN ... %) • Correct PMN ... RBCs (subtract 1 PMN ... SBP #diagnosis #management
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... of occlusion EMN ... @EMNews #ACS ... #OMI #STEMI #Differential