8 results
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Patterns of Liver ... Levels: > 50x normal ... - Infection (EBV ... Alcoholic cirrhosis, Portal ... transaminitis #differential
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Hepatocellular Pattern ... dz Cholestatic Pattern ... AST): • US - Normal
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Treatment of Abnormal ... with 26 French catheter ... increased risk of infection ... Monophasic combined oral ... breast cancer, liver
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... Typhoid fever (Step ladder ... resolution falling to normal ... Brucellosis • Liver ... #Differential #
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
POCUS) and function ... Foley urinary catheter ... Clamp catheter distal ... to the port with ... from the urinary catheter
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... from contiguous focus ... endocarditis) - Portal ... sources within abdominal ... children #peds #differential
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
Her vitals are normal ... period w/ re-exams (normal ... injuries to spleen, liver ... Keep this injury pattern ... on your differential
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This post will focus ... chest radiograph pattern ... defaulting to a normal ... consider intra-abdominal ... bleeding often from a liver