26 results
diagnosis hematology treatment differential algorithm peritonitis bacterial cirrhosis gastroenterology lfts oncology sbp spontaneous ascites biliary causes liver pathophysiology primary summary
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 ... Ducts - PBC ... Algorithm #diagnosis #hepatology
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Severe ALT > 15x ULN ... Mild ALT < 5x ULN ... disease US — Normal ... Bile Ducts • PSC ... Others #LFTs #Hepatology
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Check ascites WBC ... and PMN • Calculate ... gastroenterology #hepatology
Autoimmune Hepatitis Clinical Presentation - Highly variable clinical presentation, from subclinical disease to acute liver failure. -
reported (eg AIH-PBC ... upper limit of normal ... Hepatitis (eg Viral) Management ... AIH #Diagnosis #Management ... #Hepatology
Spontaneous Bacterial Peritonitis Clinical • Fever • Chills • Abdominal pain Diagnosis
Diagnosis • PMN ... stain/culture Management ... SBP #Diagnosis #Hepatology
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Calculate absolute PMN ... count (total WBC ... PMN count for RBCs ... (subtract 1 PMN ... SBP #diagnosis #management
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
) - Summary PBC ... • ALT & AST normal ... • Bilirubin - Normal ... • ALP > 1.5 x ULN ... diagnosis #workup #hepatology
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Diagnosis and Management ... source • SBP: PMN ... count (WBC x PMN ... Ascites #Diagnosis #Management ... #Summary #Hepatology
Synovial Fluid Analysis: Findings (COLOR TRANSPARENCY VISCOSITY WBC COUNT (PER MM3) PMN CELL COUNT (%) GRAM STAIN CULTURE PCR TEST CRYSTALS) By Condition (Normal Noninflammatory Inflammatory:
TRANSPARENCY VISCOSITY WBC ... COUNT (PER MM3) PMN ... By Condition (Normal
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 Bandemia Overview Normal: < 1% Clinically significant: > 10% Band neutrophils are slightly less mature than segmented neutrophils and
significant: > 10% Band ... Band neutrophils ... • Abnormal temperature ... bacteremia • Abnormal ... #CBC #hematology
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