11 results
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... • Drugs • AIH ... • Alcoholic hepatitis ... • Others #LFTs ... #Hepatology #LiverEnzymes
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
on POCUS Sick ... air on ultrasound ... , reverb in liver ... #Venous #Gas #Air ... #Abdominal #Ultrasound
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Viral, Ischemia, AIH ... - Viral, AIH ... Alcohol, Viral, HH, AIH ... Burak @kwburak #LFTs ... #diagnosis #hepatology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
peripheral tracking of air ... ileus), intra-abdominal ... venousgas #ultrasound #hepatology ... #liver #pocus # ... clinical #air
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
been reported (eg AIH-PBC ... upper limit of normal ... If suspected, AIH ... #AIH #Diagnosis ... #Management #Hepatology
Clinical Diagnosis of Autoimmune Hepatitis
 - Onset of jaundice within prior 8 weeks
 - Ongoing consumption
of Autoimmune Hepatitis ... <400 - Serum total ... ) or metabolic liver ... #Diagnosis #Hepatology ... #AIH
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... POCUS S/P ERCP ... Portal is Peripheral ... #Pneumobilia #air ... #liver #pocus #
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
on POCUS - Pneumatosis ... centrally located air ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
centrally located air ... result in small air ... Mnemonic Portal ... #clinical #abdominal ... #ultrasound #Liver
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
POCUS) and function ... the Foley side port ... transducer at the level ... distal to the port ... allow flushing of air