27 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Stabilization Concern for Liver ... Disease • Variceal Bleeding ... GAVE (idiopathic, liver ... UGIB #GIBleed #Differential
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
CHA2DS2VASc vs HAS-BLED ... Abnormal renal/liver ... >2.3mg/dL) 1 Liver ... S Stroke 1 B Bleeding ... AFib #Diagnosis #Hematology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Platelet Disorders - Differential ... - History of bleeding ... menstrual - Recent procedures ... : INR/PT, aPTT(liver ... bypass), LFT (liver
Causes of Bleeding / Bruising - Differential Diagnosis Algorithm
Thrombocytopenia - Quantitative Defect
 • Decreased Production
 •
Causes of Bleeding ... / Bruising - Differential ... Iatrogenic) • Liver ... Coagulation #Bleeding ... Algorithm #Causes #Hematology
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Low Mean Corpuscular Volume (<80
Volume (MCV) - Differential ... 80-100 fL) • Bleeding ... Renal Disease, Liver ... Reticulocytosis • Liver ... Algorithm #Causes #Hematology
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Procedure Risks ... Prophylactic variceal bleeding ... EUS without FNA, Enteral ... , Transjugular liver ... • Percutaneous liver
Red Blood Cell (RBC) Morphology Atlas
 • Microcytic - Iron-deficiency anemia, Thalassemia, Sideroblastic anemia, Lead poisoning
Megaloblastic anemia, Liver ... - Thalassemia, Liver ... diseases, Bleeding ... key #diagnosis #differential ... #hematology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
• Should be on differential ... may be herald bleed ... Typical "herald bleed ... that precedes a later ... patients with massive bleed
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... Fat infiltrates maternal ... infiltration) Differential ... Management: • Maternal ... #Pregnancy #hepatology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... synthesis - rises later ... RBC (hemolysis, bleeding ... chemistry #diagnosis #differential ... #Hepatology #transaminitis