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diagnosis neurology management clinical hepatology physicalexam video differential sign pyramidal reflex algorithm lfts peritonitis biliary causes cirrhosis elevated infectiousdiseases pbc
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
Motor Neuron (UMN ... However, in UMN ... UMC & LMN lesions ... 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 ... and LMN types)
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
involving both UMN ... combination of UMN ... involvement • UMN ... evidence of both UMN ... diagnosis column Treatment
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis Spontaneous Bacterial Peritonitis • Cirrhosis (high SAAG)
) + ascites w/ PMN ... > 250 • Treatment ... glucose < 50, LDH ULN ... Positive Culture • Treatment
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Severe - ALT >15X ULN ... Moderate - ALT 5-15X ULN ... Mild - ALT < 5x ULN ... LFTs #Elevated #Abnormal
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Calculate absolute PMN ... count (total WBC x PMN ... %) • Correct PMN ... RBCs (subtract 1 PMN ... #prophylaxis #treatment
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Severe ALT > 15x ULN ... Moderate ALT 5-15x ULN ... Mild ALT < 5x ULN ... disease US — Normal
Stransky's Sign on Physical Exam - Babinski Equivalent Stransky's sign is a clinical sign in which vigorous
Physical Exam - Babinski ... clinical #neurology #UMN ... video #Pyramidal #Babinski
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 Stransky's Sign on Physical Exam - Babinski Equivalent Stransky's sign is a clinical sign in which vigorous
Physical Exam - Babinski ... clinical #neurology #UMN ... video #Pyramidal #Babinski
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 Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
injury • Gait is abnormal ... dysfunction • Abnormal ... : Areflexia UMN ... plantar response LMN
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