7 results
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Patterns of Liver ... Injury Transaminase ... > 20x normal ... #Injury #hepatology ... transaminitis #differential
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... , AIH, Wilsons, ... - Viral, AIH ... Alcohol, Viral, HH, AIH ... AST): • US - Normal
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... Drugs/Toxins • Ischemia ... • Drugs • AIH ... disease US — Normal ... Others #LFTs #Hepatology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... peripheral tracking of air ... i.e. mesenteric ischemia ... #liver #pocus # ... clinical #air
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... Diagnosis Algorithm ... - If both are normal ... function may be abnormal ... #hepatology
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
injury, though ... been reported (eg AIH-PBC ... upper limit of normal ... If suspected, AIH ... Autoimmune #Hepatitis #AIH
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
enterocolitis (NEC), Ischemic ... Diverticulitis, Pelvic abscess ... abscess, Complicated ... Intrahepatic #Gas #Air ... #differential #