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diagnosis hepatology liver cardiology algorithm lfts stemi causes ecg ekg electrocardiogram emergency hepatitis infectiousdiseases lactate pulmonary stelevation transaminitis aa abnormal
Liver Function Test (LFTs) Elevation AST - Cardiac and skeletal muscle, kidney, brain ALT - More specific for
Function Test (LFTs) Elevation ... SinaiBmoreIMRes #Liver #FunctionTest ... #LFTs #Elevation
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Differential Diagnosis ... for ST Segment Elevations ... BRUGADA SIGN (SYNDROME ... #STSegment #STElevation ... #STEMI #Differential
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential ... interval J Wave Syndromes ... involved • Brugada Syndrome ... Wolff-Parkinson-White syndrome ... #differential #
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Conventional STEMI - Elevation ... point • De Winter syndrome ... with 1-2 mm ST elevation ... modified) - ST elevation ... EKG #diagnosis #differential
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
to 10-20-fold elevation ... necrosis HELLP Syndrome ... to 10-20-fold elevation ... hepatitis #comparison #differential
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Bilirubin - +/- elevation ... or amyloid: • Elevation ... of Liver Enzyme Elevation ... • Gilbert's syndrome ... chemistry #diagnosis #differential
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Liver Injury - Differential ... vein: Budd-chiari syndrome ... Bilirubin - +/- elevation ... • Gilbert's syndrome ... of Liver Enzyme Elevation
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... PiO2: Extreme Elevation ... Hepatopulmonary Syndrome ... Hypoxia #hypoxemia #differential
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework LDH is a cytoplasmic enzyme present in tissues throughout
Dehydrogenase (LDH) - Differential ... • Tumor lysis syndrome ... polyangiitis • Behçet's syndrome ... Idiosyncratic LDH Elevation ... Dehydrogenase #Elevated #differential
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... - Compartment syndrome ... ULN • AST/ALT Elevation ... or compartment syndrome ... Rhabdomyolysis #Differential
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