40 results
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
Motor Neuron (UMN ... the differential diagnosis ... However, in UMN ... UMN lesions are ... and a positive Babinski
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
involving both UMN ... sclerosis with pure UMN ... combination of UMN ... evidence of both UMN ... #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 ... Mild - ALT < 5x ULN ... Transaminitis #Algorithm #diagnosis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
) + ascites w/ PMN ... glucose < 50, LDH ULN ... cloudy effluent) 2) WBC ... > 100 WBC, >50% ... Secondary #Peritoneal #diagnosis
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
- Differential Diagnosis ... Severe ALT > 15x ULN ... disease US — Normal ... Bile Ducts • PSC ... #Differential #Diagnosis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... count (total WBC ... (subtract 1 PMN ... Peritonitis #SBP #diagnosis ... #management #prophylaxis
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
reported (eg AIH-PBC ... upper limit of normal ... , AIH diagnosis ... Hepatitis (eg Viral) Management ... #Management #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 ... nongonococcal ) #Diagnosis
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Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
• ALT & AST normal ... Diagnosis: • ... • ALP > 1.5 x ULN ... Differential Diagnosis ... #cholangitis #diagnosis