7 results
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... Drugs/Toxins • Ischemia ... • Drugs • AIH ... disease US — Normal ... #Causes
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
portal venous system ... i.e. mesenteric ischemia ... variety of other causes ... #liver #pocus # ... clinical #air
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... disease • Liver ... autoimmune hemolytic anemia ... ) • Systemic granulomatous ... DDX - Other causes
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
vulnificus part of normal ... sepsis: chronic liver ... hemochromatosis, hemolytic anemia ... immunosuppressive meds ... #legs #clinical
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
cooled from the normal ... processes: • Systemic ... limb and bowel ischemia ... cryoglobulins • Negative causes ... #hematology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
recently installed air ... conditioning system ... Bandemia, AKI. ... dogs & latter can cause ... #clinical #photo
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
the Fingers Clinically ... Systemic causes ... include diabetes, anemia ... hyperthyroidism, peripheral ischemia ... Seen in liver disease