42 results
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... on prior Liver/ ... MELD - Chronic liver ... US - Prior liver ... #Gastroenterology
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... on POCUS Sick ... Notice the portal air ... ultrasound, reverb in liver ... #Air #Clinical
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 • Intrinsic - predictable, dose dependent
Idiosyncratic Drug-induced Liver ... or symptoms of liver ... Drug #induced #Liver ... Idiosyncratic #differential ... #hepatology
Portal Venous Gas:
Ill-appearing elderly postop patient. Taken back to OR for ischemic bowel
Gas in the liver:
Portal Venous Gas ... ischemic bowel Gas ... in the liver: Pneumobilia ... Portal Venous Gas ... #Air #POCUS #Liver
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... reflection on the differential ... peripheral tracking of air ... #liver #pocus # ... clinical #air
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... POCUS 24yo healthy ... of this 2x2cm liver ... , but IR felt it ... twitter.com/EUSmkh #Liver
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Hyperbilirubinemia - Differential ... MRCP, ERCP, liver ... direct #bilirubin #Differential ... Diagnosis #Algorithm #gastroenterology ... #hepatology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... Identify Acute Liver ... substances, such as ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... - Differential ... • Drugs • AIH ... Others #LFTs #Hepatology ... #LiverEnzymes #Differential
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Viral, Ischemia, AIH ... - Viral, AIH ... Algorithm #diagnosis #hepatology