10 results
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
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial ... Abdominal pain Diagnosis ... • PMN > 250 ... stain/culture Management ... • Albumin #Spontaneous
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
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial ... Peritonitis DIAGNOSTICS ... HershShroff #Spontaneous ... Peritonitis #SBP #diagnosis ... #management #prophylaxis
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... Peritonitis (SBP) - Diagnosis ... Ascites PMN > 250 ... response - ↓ PMN ... 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
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... No extrahepatic biliary ... • ALP > 1.5 x ULN ... Differential Diagnosis ... #cholangitis #diagnosis
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
and Management ... 2) Lipase > 3x ULN ... • Imaging: US (biliary ... , can be normal ... MRCP (necrosis, biliary
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Examination: • UMN ... Hyperreflexia, Clonus, Babinski ... Multiple Sclerosis Diagnosis ... lesions) McDonald diagnostic ... #management #neurology
Primary Biliary Cirrhosis - Management
A. Initiate therapy 
 - Initiate 1st line therapy with UDCA (13-15
Primary Biliary ... Cirrhosis - Management ... if ALP > 1.5x ULN ... and/or abnormal ... #PBC #Primary #Biliary