12 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... ultrasound: A concerning ... variety of other causes ... #hepatology #liver ... #pocus #clinical
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
for a Prolonged PT ... (e.g. heparin contamination ... thrombin inhibitors, heparin ... • Reduced liver ... #differential #hematology
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
on POCUS Patient ... with history of colon ... Focused renal u/ ... Note hepatic masses ... #ultrasound #metastatic
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
on POCUS Patient ... with history of colon ... Focused renal u/ ... Note hepatic masses ... #ultrasound #metastatic
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Causes of Abnormal ... Early liver disease ... e.g. heparin ... Reduced liver synthesis ... #differential #hematology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
• Prolonged PT ... Bleeding (64%) • Renal ... Fibrinogen: ↓ • PT ... DIC • Severe Liver ... treatment #management #hematology
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 ... critically ill, septic ... Transfusion #Thresholds #Hematology
Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework

== Quantitative or Qualitative defect in
Acquired: • Heparin ... deficiency • Liver ... discern these causes ... are liver function ... Differential #Diagnosis #Hematology
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura

Activity of von Willebrand factor-cleaving protease activity - A
be performed PT ... decrease in most cases ... antiglobulin tests - Negative ... the presence of renal ... Diagnosis #Workup #Hematology
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Common bacterial causes ... • Enteric gram negative ... from contiguous focus ... through: - Hepatic ... differential #diagnosis #hepatology