32 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
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Diseases of the lung ... Patients with liver ... Hepatopulmonary #Syndrome
Elevated Transaminases / Transaminitis - Differential Diagnosis

 • Infectious: HAV, HCV, HEV, EBV, HSV, CMV
 •
Transaminitis - Differential ... CA, small cell lung ... Trauma: Shock liver ... Vascular: Budd-chiari syndrome ... Sinusoidal obstruction syndrome
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
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Mirizzi Syndrome ... on RUQ POCUS ... Has Mirizzi's syndrome-Pt ... RUQ pain, fever, jaundice ... #Liver #POCUS #
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... Pruritus, Mild jaundice ... necrosis HELLP Syndrome ... Hemolysis, Elevated Liver ... hepatitis #comparison #differential
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
and Associated Lung ... Respiratory Distress Syndrome ... submassive PE) POCUS ... #pulmonary #differential ... #POCUS #ultrasound
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... vein: Budd-chiari syndrome ... CA, small cell lung ... • Gilbert's syndrome ... injury #hepatitis #differential
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Wall Thickening - Differential ... heart failure, Liver ... cirrhosis, Nephrotic syndrome ... Gallbladder #Thickening #Differential ... Diagnosis #radiology #POCUS
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
QT Syndrome: Illness ... prevalence - 1/2000 live ... QT prolonging meds ... QTc prolonging meds ... Congenital #LongQT #Syndrome