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diagnosis differential hepatology neurology algorithm clinical lfts physicalexam pyramidal sign video stranskys transaminitis workup atrophy biliary calcium chemistry cholangitis cord
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
Motor Neuron (UMN ... However, in UMN ... UMN lesions are ... and a positive Babinski ... reflex, presenting
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Severe - ALT >15X ULN ... Mild - ALT < 5x ULN ... Congenital, Others, Cirrhosis ... kwburak #LFTs #Elevated
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Elevated Liver Enzymes ... Severe ALT > 15x ULN ... disease US — Normal ... Infiltrative • Cirrhosis ... Diagnosis #Algorithm #Causes
Stransky's Sign on Physical Exam - Babinski Equivalent Stransky's sign is a clinical sign in which vigorous
Physical Exam - Babinski ... the little toe causes ... extensor plantar reflex ... #Stranskys #Reflex ... clinical #neurology #UMN
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 Stransky's Sign on Physical Exam - Babinski Equivalent Stransky's sign is a clinical sign in which vigorous
Physical Exam - Babinski ... the little toe causes ... extensor plantar reflex ... #Stranskys #Reflex ... clinical #neurology #UMN
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 Rossolimo's Reflex on Physical Exam - Babinski Equivalent Rossolimo's sign is a clinical sign in which percussion
Rossolimo's Reflex ... Physical Exam - Babinski ... tips of the toes causes ... #Rossolimos #Reflex ... clinical #neurology #UMN
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 Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Primary Biliary Cirrhosis ... intralobular bile ducts causes ... or slightly elevated ... early on but elevated ... • ALP > 1.5 x ULN
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Evaluation 1) Clinical clues ... likely - Mid range/ULN ... FeCa <1 %) - Low normal ... • If all normal ... endocrinology #calcium #elevated
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
injury • Gait is abnormal ... Non-compressive Spinal Cord Causes ... reflexes: Areflexia ... UMN Symptoms ... plantar response LMN
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
R-value: Serum (ALT/ULN ... ALT) / (Alk phos/ULN ... specificity to elevated ... - If both are normal ... hepatitis: < 1 • Cirrhosis
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