69 results
Algorithm and Differential Diagnosis of Hyperbilirubinemia 
Direct = Conjugated
Indirect = Unconjugated

#Diagnosis #Jaundice #Hyperbilirubinemia #Differential #Algorithm #Direct
Algorithm and Differential ... Hyperbilirubinemia Direct ... = Conjugated Indirect ... #Algorithm #Direct ... #Indirect #Conjugated
Jaundice Evaluation Algorithm #Diagnosis #Management #EM #IM #GI #Jaundice #Hyperbilirubinemia #Workup #Evaluation #Differential #Algorithm #Direct #Indirect
Jaundice Evaluation Algorithm ... Workup #Evaluation #Differential ... #Algorithm #Direct ... #Indirect #Conjugated ... #Unconjugated #
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
(predominantly indirect ... drug reactions) Conjugated ... (predominantly direct ... excretion of bilirubin conjugates ... differential #causes
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Hyperbilirubinemia - Differential ... Diagnosis Algorithm ... Hyperbilirubinemia #direct ... #bilirubin #Differential ... #Diagnosis #Algorithm
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Jaundice - Differential ... Diagnosis Algorithm ... II) Hepatic - Conjugated ... #Jaundice #Differential ... #Diagnosis #Algorithm
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Shoulder Pain - Differential ... Diagnosis Algorithm ... tests for the AC ... Direct palpation ... #Diagnosis #Algorithm
Hemolytic Anemias - Differential Diagnosis Algorithm

Signs of anemia and hemolysis:
 • ↓ Haptoglobin
 • ↑ LDH
Hemolytic Anemias - Differential ... Diagnosis Algorithm ... • ↑ LDH • ↑ Indirect ... / unconjugated ... #Diagnosis #Algorithm
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... with Contrast (a4c ... Atrial #Septal #Defect ... Echocardiogram #Contrast #a4c ... #clinical #pocus
Isolated Hyperbilirubinemia - Differential Diagnosis Algorithm
Direct Hyperbilirubinemia: Dubin-Johnson Syndrome, Rotor Syndrome
Indirect Hyperbilirubinemia: 
 - Trauma, Hematoma,
Hyperbilirubinemia - Differential ... Diagnosis Algorithm ... Direct Hyperbilirubinemia ... Hyperbilirubinemia #Isolated #Differential ... #Diagnosis #Algorithm
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
Echocardiogram (a4c ... you close the defect ... atrial #septal #defect ... Echocardiogram #a4c ... clinical #cardiology #pocus