13 results
An Approach to Jaundice Workup Algorithm by CBC and LFT Pattern

- Dr. Eric Strong @DrEricStrong

#Jaundice #Workup
An Approach to Jaundice ... Workup Algorithm by CBC ... and LFT Pattern ... DrEricStrong #Jaundice ... #Diagnosis #Hepatology
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Algorithm for Transaminitis ... - CBD stone, Biliary ... Burak @kwburak #LFTs ... Elevated #Abnormal #Transaminitis ... Algorithm #diagnosis #hepatology
Summary table of comparison of the difference between primary biliary cholangitis (PBC) and primary sclerosing cholangitis
between primary biliary ... cholangitis (PBC ... sclerosing cholangitis (PSC ... #differential #hepatology ... #gastroenterology
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Function Test (LFTs ... the liver ALP - Biliary ... #FunctionTest #LFTs ... #Elevation #Transaminitis ... #diagnosis #hepatology
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... discomfort Signs: Jaundice ... #PBC #Primary ... #Biliary #Cirrhosis ... Diagnosis #Algorithm #hepatology
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... hyperpigmentation • Jaundice ... No extrahepatic biliary ... malignancy #Primary #Biliary ... diagnosis #workup #hepatology
Causes of Biliary Dilatation - Differential Diagnosis
 • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy
 •
Causes of Biliary ... AUPBD • Stones: Biliary ... pancreatitis, PSC ... differential #diagnosis #hepatology ... #gastroenterology
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Bile Ducts • PSC ... Duct Stone • Biliary ... • Others #LFTs ... #Hepatology #LiverEnzymes
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
Important findings: jaundice ... - Vitals - LFTs ... Calling #Referral #Hepatology ... #Gastroenterology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Interpretation of LFTs ... • LDH: Heart, RBC ... #differential #Hepatology ... #transaminitis ... #LFTs #RValue #interpretation