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diagnosis hematology differential management abnormal algorithm clinical lfts portal syndrome workup arterial atlas beaus cryofibrinogenemia diseases disorders elevated embolism fingernails
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Elevated Liver Enzymes ... Drugs/Toxins • Ischemia ... Infiltrative • Cirrhosis ... Others #LFTs #Hepatology ... Diagnosis #Algorithm #Causes
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Drugs, Viral, Ischemia ... , AIH, Wilsons, ... Congenital, Others, Cirrhosis ... Algorithm #diagnosis #hepatology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
i.e. mesenteric ischemia ... variety of other causes ... venousgas #ultrasound #hepatology ... #liver #pocus # ... clinical #air
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 Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
: INR/PT, aPTT(liver ... pylori test (GI symptoms ... changes), high MCV anemia ... bypass), LFT (liver ... #Workup #hematology
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura Activity of von Willebrand factor-cleaving protease activity - A
decrease in most cases ... result in severe anemia ... immune hemolytic anemia ... tissue damage from ischemia ... Diagnosis #Workup #Hematology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... Dehydration • Symptoms ... changes, stroke symptoms ... AKI, acute limb ischemia ... diagnosis #management #hematology
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework VENOUS THROMBOSIS • Acquired Risk Factors: - >48 hours
Nephrotic Syndrome, Ischemic ... Liver, IBD • ... considered in all cases ... coagulation and other causes ... pathophysiology #hematology
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... with or without cirrhosis ... older) on room air ... resolution of symptoms ... management #treatment #hepatology
Causes of Intrahepatic Gas Non-Iatrogenic: • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... enterocolitis (NEC), Ischemic ... Colonoscopy, Barium enema ... Intrahepatic #Gas #Air ... #Portal #Causes
Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
Cryofibrinogenemia Symptoms ... limb and bowel ischemia ... cryoglobulins • Negative causes ... Cryofibrinogenemia #diagnosis #rheumatology ... #hematology
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