23 results
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
consult - I-liner ... lipase PMH: - Focus ... on prior GI/Liver ... Treatment started (PPI ... GregoryTBrennan #Liver
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... / hypoxemia -> focus ... mellitus/DKA - Liver ... gluconeogenesis Liver
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... heart failure, Liver ... Diagnosis #radiology #POCUS
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ POCUS ... anterior to the liver ... as shown in the case ... worry about rare case ... duodenal #ulcer #RUQ #POCUS
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
synthesized in: liver ... Most cases diagnosed ... → Low ALP -> PPi ... accumulate → PPi ... Phosphatase: • Other causes
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
• Person who lives ... Nausea/ vomiting ... and no apparent focus ... Liver enlargement ... involvement, such as liver
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
variety of other causes ... ultrasound #hepatology #liver ... #pocus #clinical
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
NEJM 1999 - ICU FOCUS ... Blood saves lives ... unnecessary and cause
Sensitivity is the proportion of truly diseased persons in the screened population who are identified as
correctly diagnose a case ... that any given case ... it has a narrow focus ... Calculation #Table #PPV
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Non-Infectious Causes ... Temp high in AM > PM ... increases by 8-10 bpm ... Brucellosis • Liver