31 results
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
the differential diagnosis ... However, in UMN ... UMN lesions are ... and a positive Babinski ... @DharSaty #UMN
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
Disproportionate motor (UMN ... Ipsilateral weakness (UMN ... sensations, small band ... paraparesis (mixed UMN ... spinalcord #syndromes #diagnosis
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
combination of UMN ... sclerosis with pure UMN ... combination of UMN ... Other possible diagnosis ... #management
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... - Differential Diagnosis ... Congenital, Others, Cirrhosis ... LFTs #Elevated #Abnormal ... Transaminitis #Algorithm #diagnosis
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
- Differential Diagnosis ... Severe ALT > 15x ULN ... disease US — Normal ... Infiltrative • Cirrhosis ... #Differential #Diagnosis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Peritonitis • Cirrhosis ... ) + ascites w/ PMN ... glucose < 50, LDH ULN ... Secondary #Peritoneal #diagnosis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Calculate absolute PMN ... %) • Correct PMN ... Peritonitis #SBP #diagnosis ... #management #prophylaxis
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Abdominal pain Diagnosis ... • PMN > 250 ... stain/culture Management ... Peritonitis #SBP #Diagnosis
HAS-BLED Score - Risk of Major Bleeding in 1 Year
Characteristics (1 point each)
 • Hypertension: Baseline
Liver disease: Cirrhosis ... bilirubin > 2x ULN ... /Alk phos > 3x ULN ... anticoagulation #diagnosis
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
upper limit of normal ... , AIH diagnosis ... Hepatitis (eg Viral) Management ... AND IgG > 2x ULN ... #Management #Hepatology