37 results
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis ... bowel, Hemorrhagic shock ... Hypoperfusion, Cardiogenic shock ... : Liver Disease, ... #TypeA #TypeB #diagnosis
Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
manifestations of acute liver ... abnormalities Liver ... Coagulopathy, Lactic acidosis ... manifestations #acute #liver ... Signs #Symptoms #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Insufficiency, Liver ... Abdominal compartment syndrome ... Treatment Goals ... #Differential #Diagnosis
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... 50% in nec fasc Diagnostic ... (2+): kidneys, liver ... #Syndrome #STSS ... #diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... - Compartment syndrome ... mellitus/DKA - Liver ... gluconeogenesis Liver
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute Liver ... Hepatocellular - Liver ... Liver, Thrombus ... Stricture, Malignancy, Liver ... Sophia_Hayes_MD #Liver
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential Diagnosis ... vein: Budd-chiari syndrome ... Hepatic artery: Shock ... VZV • Trauma: Shock ... • Gilbert's syndrome
Elevated Transaminases / Transaminitis - Differential Diagnosis

 • Infectious: HAV, HCV, HEV, EBV, HSV, CMV
 •
- Differential Diagnosis ... HELLP • Trauma: Shock ... liver • Metabolic ... Vascular: Budd-chiari syndrome ... #Differential #Diagnosis
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Cardiogenic & Septic Shock ... Ischemia, Compartment Syndrome ... Clearance: Systemic liver ... in Short Bowel Syndrome
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... cytokine release syndrome ... neuraxial anesthesia), Liver ... #diagnosis #differential