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management algorithm hematology neurology signs syndrome gastroenterology ophthalmology pathophysiology rheumatology classification liver cardiology lfts infectiousdiseases oncology pain syndromes transaminitis vasculitis
Patterns of Liver Injury Transaminase Levels: > 50x normal - Ischemic Hepatitis > 20x normal
> 50x normal - Ischemic ... CMV), Alcoholic cirrhosis ... AST:ALT = 1 - Ischemia ... Viral Hepatitis, Ischemic ... #diagnosis
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Diagnosis Algorithm ... Drugs/Toxins • Ischemia ... Infiltrative • Cirrhosis ... Others #LFTs #Hepatology ... #Causes
Elevated Liver Function Tests (LFTs) - Differential Diagnosis Framework Mild (<100-500): • NAFLD • Cirrhosis •
Tests (LFTs) - Differential ... Diagnosis Framework ... • NAFLD • Cirrhosis ... liver injury) • Ischemic ... #Diagnosis #hepatology
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
Causes of Severe ... Liver Injury - Ichemic ... Severe #Acute #Causes ... #Differential # ... Hepatology #Diagnosis
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Clinical Pearls ... • Neurologic symptoms ... Cannot Abduct • Ischemia ... unreactive pupil • Ischemia ... looking medially • Ischemia
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
sinus, AV block, ischemia ... LIFE THREATENING CAUSES ... & TREATMENT - ... euglycemia - Ischemia ... Bradycardia #Algorithm #Differential
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
Causes of Dizziness ... - Vertigo - Differential ... Diagnosis Algorithm ... • Transient Ischemic ... #Causes
CNS Manifestations of Systemic Lupus Erythematosus (SLE) Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Erythematosus (SLE) Clinical ... autoantibodies that will cause ... ischemia and/or ... permeability Diagnosis ... cyclophosphamide • Ischemic
Portal Vein Thrombosis (PVT) Treatment Algorithm - If concern for ischemic: anti-coag+multidisciplinary care - W/o cirrhosis+recent
If concern for ischemic ... multidisciplinary care - W/o cirrhosis ... anti-thrombotic tx - Cirrhosis ... : case-by-cased ... management #Algorithm #hepatology
Causes of Biliary Dilatation - Differential Diagnosis • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy •
Causes of Biliary ... Dilatation - Differential ... Parasitic infection, Ischaemic ... #differential # ... diagnosis #hepatology
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