11 results
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... Hepatic infarcts, Hematomas ... #Pregnancy #hepatology ... hepatitis #comparison #differential ... #diagnosis #icp
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
Adrenal hematoma ... Has femur fracture ... Diagnosis/differential ... Right adrenal hematoma ... RJonesSonoEM #Adrenal #hematoma
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... ) Pathophysiology ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... Liver #Pregnancy #hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Liver Injury - Differential ... Diagnosis Algorithm ... hemolysis, bleeding, hematoma ... #diagnosis #algorithm ... #hepatology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
of cholestatic disease ... hemolysis, bleeding, hematoma ... liver #chemistry #diagnosis ... #differential # ... Hepatology #transaminitis
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... • recurrent fractures ... Malnutrition • Wilson's disease ... collection with EDTA Pathophysiology ... Hyophosphatasia #hepatology
Sternal fracture on POCUS. 

It’s super easy! Place linear probe in long axis over point of
Sternal fracture ... bony cortex, +/- hematoma ... than CXR & can diagnose ... #Clinical #POCUS ... #ultrasound
Perinephric fluid on POCUS

Differential Diagnosis: Calyceal rupture due to obstruction (eg, ureteral stone, crossing vessels, compression
Differential ... Diagnosis: Calyceal ... ), perinephric hematoma ... #ultrasound #renal ... #kidney #clinical
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
ALP, alkaline phosphatase ... alcohol-related liver disease ... mellitus; USS, ultrasound ... Abnormal #Algorithm #Hepatology ... Liver #Enzymes #Differential
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
protein C and S Pathophysiology ... organ damage Clinical ... Subcutaneous dissecting hematoma ... • Severe Liver Disease ... #Coagulation #diagnosis