11 results
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Function Test (LFTs) Elevation ... Hepatocellular Pattern ... to ≤ 5: Mixed pattern ... SinaiBmoreIMRes #Liver #FunctionTest ... #LFTs #Elevation
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST elevations ... Cardiology #EKG #ECG #STElevation ... #STSegment #Differential ... #Patterns
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential ... Diagnosis Framework STEMI ... of Normal Variant ... #ST #STEMI #Segment ... #Elevation #differential
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
evaluation of the pattern ... the magnitude of enzyme ... elevation and clinical ... Hepatology #Liver #Enzymes ... #Differential #
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
to 10-20-fold elevation ... Hepatic imaging: Normal ... Elevated Liver enzymes ... to 10-20-fold elevation ... hepatitis #comparison #differential
Intrapartum Abnormal Fetal HR Tracing - Causes of Variability & Decelerations - Differential Diagnosis Algorithm
Minimal/Absent Variability
Intrapartum Abnormal ... Decelerations - Differential ... hypoxia Sinusoidal Pattern ... in fetal brain stem ... FetalHeartRate #Tracing #Differential
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
Dehydrogenase (LDH) - Differential ... a cytoplasmic enzyme ... upon damage • Normal ... red blood cell enzymes ... Idiosyncratic LDH Elevation
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Bilirubin - +/- elevation ... or amyloid: • Elevation ... Source of Liver Enzyme ... Elevation: • ... chemistry #diagnosis #differential
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Liver Injury - Differential ... Bilirubin - +/- elevation ... function may be abnormal ... Source of Liver Enzyme ... Elevation: •
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Absence of ST elevation ... - ST segment elevation ... 1mm) in aVR - “Normal ... ” STEMI morphology ... follow the deWinter pattern