26 results
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... skeletal muscle, kidney ... specific for the liver ... SinaiBmoreIMRes #Liver ... #FunctionTest #
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric Kidney ... Stones Acute Managment ... - Transplant: Liver ... and/or kidney ... SwastiThinks #Kidney
Proximal Ureteral Stone on POCUS
Acute flank pain.
2 cm obstructing stone in proximal ureter. Can't just managed
Proximal Ureteral Stone ... on POCUS Acute ... cm obstructing stone ... #POCUS #renal # ... kidney #clinical
Renal Pelvis Stone on POCUS

A patient presents with fever and RLQ pain.  Coronal plane showing
on POCUS A patient ... plane showing liver ... & right kidney, ... #POCUS #nephrolithiasis ... clinical #ultrasound #kidney
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Obstruction: Biliary stone ... cardiac muscle, RBC, kidney ... cardiac muscle, kidneys ... trimester placenta, kidneys
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Artifact of CBD stone ... this dancing CBD stone ... #POCUS Can also ... adenomyomatosis, calcified liver ... clinical #ultrasound #pocus
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... AAA.... but left kidney ... Infected stone. ... Hydronephrosis #POCUS
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
disturbance (obstructed liver ... Highest • Bone • Liver ... Intestine • Kidney ... duct stricture/Stones
A sludge filled gallbladder will appear isoechoic with liver and blend right in. This one had
isoechoic with liver ... easily identified stones ... cholelithiasis #stone ... #ultrasound #pocus
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
heart failure, liver ... heart failure, liver ... stones caused by ... heart failure, liver ... heart failure, liver