131 results
Pathogenesis of Nonalcoholic Steatohepatitis. Various factors, including inflammation, hyperinsulinemia or insulin resistance, and altered lipid homeostasis,
develop in fatty hepatocytes ... #GI #IM #NASH #NAFLD
Histologic Features and Prevalence of Nonalcoholic Steatohepatitis (NASH). NASH is a potentially progressive type of nonalcoholic
liver disease (NAFLD ... specimens: ballooned hepatocytes ... Epidemiology #NASH #NAFLD
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Hemochromatosis • NAFLD ... ALT < 5x ULN • NAFLD ... Diagnosis #Algorithm #Causes
Causes of Hyperferritinemia - Differential Diagnosis
Ferritin > 1000
Ferritin is the storage form of iron. Increased hepcidin
Causes of Hyperferritinemia ... leaving enterocytes, hepatocytes ... Most Common Causes ... 1% Most Common Causes ... is an uncommon cause
NAFLD Activity Score (NAS)
0–3 for steatosis
0–3 for inflammation
0–2 for ballooning hepatocytes
NAS ≥5 is classified as definitive
NAFLD Activity Score ... for ballooning hepatocytes ... .2020.603926 #NAFLD
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute ... Antitrypsin • Other: NAFLD ... Differential #Diagnosis #Causes
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
cholestasis, and some cases ... epithelial and hepatocyte ... miscellaneous causes ... #differential #causes
Sebaceous hyperplasia 
 - Yellow papule 
 - Donut-shape 
 - Central umbilication 
 - Telangiectasia
Usually multiple - Causes ... Benign #Clinical #Photo
Molluscum: Numerous papules caused by viral infection.

Charlie Goldberg, M.D. - UCSD Catalog of Clinical Images

#Clinical #Photo
Numerous papules caused ... Images #Clinical #Photo
Conjunctival Petechiae: Conjunctival petechiae, in this case secondary to endocarditis.
Photo credit, Josh Fierer, M.D.

Charlie Goldberg, M.D.
petechiae, in this case ... Photo credit, Josh ... Images #Clinical #Photo