12 results
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Skin involvement, Kidney ... for alternative causes ... disease, Hepatic ... biopsy if: • Negative ... presentation: Hepatic
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
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Highest • Bone • Liver ... Intestine - Other causes ... Intestine • Kidney ... Pregnancy - Renal ... elevation DDX of Hepatic
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
on POCUS Patient ... Focused renal u/ ... Note hepatic masses ... #POCUS #clinical ... #ultrasound #metastatic
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
on POCUS Patient ... Focused renal u/ ... Note hepatic masses ... #POCUS #clinical ... #ultrasound #metastatic
Renal Pelvis Stone on POCUS

A patient presents with fever and RLQ pain.  Coronal plane showing
on POCUS A patient ... plane showing liver ... & right kidney, ... concerning for septic ... nephrolithiasis #clinical #ultrasound
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Bleeding (64%) • Renal ... DIC • Severe Liver ... Treat primary cause ... Coagulation #diagnosis #causes ... 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
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Caused by splanchnic ... perfusion + ↑ renal ... ultrasound ... Exclude other AKI causes ... Hepatorenal #Syndrome #Hepatology
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... Common bacterial causes ... • Enteric gram negative ... from contiguous focus ... through: - Hepatic