26 results
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Unknown Origin (FUO ... Returning Traveler’ algorithm ... Liver biopsy • ... Bone marrow biopsy ... udaygulati #FUO
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
tests algorithm ... Boxes in yellow ... shown in the grey boxes ... Green boxes indicate ... LFTs #Abnormal #Algorithm
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... disturbance (obstructed liver ... - Highest • Bone ... • Liver (80%) ... Differential #Diagnosis #Algorithm
Hypocalcemia - Diagnosis and Management
PTH Independent (↑ PTH)
 • LOW VIT D
    -
- Activation: Liver ... - Accelerated Bone ... Formation: Hungy Bone ... #differential #algorithm
Feedback Loop: Growth Hormone (GH)
Growth Hormone:
 • Liver -> GHR activates JAK-STAT pathway -> Incr IGF1
Growth Hormone: • Liver ... Incr IGF1 • Bone ... expansion (e.g. carpal
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Differential Diagnosis Algorithm ... Causes of Acute Liver ... hemolysis) • ALP: Bone ... differential #diagnosis #algorithm
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ POCUS ... anterior to the liver ... Robert Jones @RJonesSonoEM ... duodenal #ulcer #RUQ #POCUS
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Possible Algorithm ... Unknown Origin (FUO ... elderly pts), Bone ... marrow, Lymph node, Liver ... #Algorithm #Fever
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

Bone:
 
Bone is represented as a very bright structure and appears
ULTRASOUND Bone ... : Bone is represented ... can pass through bone ... median nerve in the carpal ... MUSCULOSKELETAL #MSK #POCUS
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... Robert Jones @RJonesSonoEM ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound