17 results
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
Important findings: jaundice ... different) PMHx: - Focus ... biopsy Meds: ... - Outpatient meds ... prior hepatotoxic meds
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... (DIC, ascites, jaundice ... infiltration) Differential ... Diagnosis: Viral Hepatitis ... Pregnancy #hepatology #obstetrics
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... Pruritus, Mild jaundice ... Pregnancy #hepatology #obstetrics ... #hepatitis #comparison ... #differential #
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 • Fever, acute onset RUQ pain,
onset RUQ pain, jaundice ... progressing to acute liver ... Liver transplant ... Hepatobiliary #hepatology #hepatitis ... #differential #
Elevated Transaminases / Transaminitis - Differential Diagnosis

 • Infectious: HAV, HCV, HEV, EBV, HSV, CMV
 •
Transaminitis - Differential ... CA, small cell lung ... Trauma: Shock liver ... • Autoimmune hepatitis ... #Differential #
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... - HIV, herpes, hepatitis ... B, hepatitis C ... plague, anthrax • Jaundice ... Returning #Traveler #differential
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... CA, small cell lung ... Chronic viral hepatitis ... #injury #hepatitis ... #differential #
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... travel hx, home meds ... Differential Bilat ... Lung POCUS shows ... Lung POCUS invaluable
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Wall Thickening - Differential ... heart failure, Liver ... Cholangitis, Acute hepatitis ... Gallbladder #Thickening #Differential ... Diagnosis #radiology #POCUS
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
Dehydrogenase (LDH) - Differential ... RBCs, muscle, liver ... Prosthetic valves Lung ... Pneumonia • Other lung ... Dehydrogenase #Elevated #differential