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diagnosis hepatology algorithm lfts transaminitis autoimmune biliary calcium causes chemistry cholangitis cirrhosis cord disorders endocrinology evaluation flaccid hypercalcemia interpretation liver
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
form part of the differential ... to prevent the atrophy ... UMN lesions are ... and a positive Babinski ... @DharSaty #UMN
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Severe - ALT >15X ULN ... Mild - ALT < 5x ULN ... kwburak #LFTs #Elevated
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Elevated Liver Enzymes ... - Differential ... Severe ALT > 15x ULN ... disease US — Normal ... #LiverEnzymes #Differential
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
likely - Mid range/ULN ... Hypercalcemia #workup ... #differential # ... endocrinology #calcium #elevated ... #evaluation #workup
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
Cord Disorders - Differential ... injury • Gait is abnormal ... : Areflexia UMN ... plantar response LMN ... Loss of muscle (atrophy
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
or slightly elevated ... early on but elevated ... • ALP > 1.5 x ULN ... bile ducts Differential ... cholangitis #diagnosis #workup
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 ... chemistry #diagnosis #differential
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... tenderness • Muscle atrophy ... Muscle weakness + atrophy ... kinase levels are elevated ... #rheumatology #differential
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