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hepatology treatment differential lfts neurology peritonitis algorithm bacterial cirrhosis gastroenterology liver sbp spontaneous transaminitis causes elevated infectiousdiseases pbc primary sclerosis
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 ... Severe - ALT >15X ULN ... - CBD stone, Biliary ... 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 ... Duct Stone • Biliary ... #Differential #Diagnosis
Liver Function Test (LFTs) Elevation AST - Cardiac and skeletal muscle, kidney, brain ALT - More specific for
the liver ALP - Biliary ... Phosphatase, ALT ≥ 3x ULN ... Value = (ALT / ULN ... ALT) / (ALP / ULN ... Transaminitis #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
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
Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
- Differential Diagnosis ... injury • Gait is abnormal ... dysfunction • Abnormal ... : Areflexia UMN ... plantar response LMN
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