35 results
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
disturbance (obstructed liver ... Highest • Bone • Liver ... Intestine - Other causes ... Pregnancy - Renal ... duct stricture/Stones
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... - Differential ... • Pregnancy - AFLP ... Common Bile Duct Stone ... Diagnosis #Algorithm #Causes
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... Transfer to a liver ... #Fatty #Liver #
Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
on POCUS Adhikari's ... ominous prognostic sign ... #VenousGas #POCUS ... #Liver #Ultrasound ... #Clinical
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... - Differential ... Algorithm Vascular Causes ... Obstruction: Biliary stone ... injury #hepatitis #differential
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... • 1ml blood/liter ... hematuria • Signs ... Hematuria: • Stone ... vein between aorta
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
#POCUS Can also ... be caused by adenomyomatosis ... , calcified liver ... #biliary #clinical ... #ultrasound #pocus
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential ... >10 mmHg - clinically ... HTN Signs of portal ... sarcoidosis) • Liver ... metastasis • Fatty liver
Renal Pelvis Stone on POCUS

A patient presents with fever and RLQ pain.  Coronal plane showing
Renal Pelvis Stone ... on POCUS A patient ... plane showing liver ... kidney, IVC & aorta ... #clinical #ultrasound
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... reflection on the differential ... variety of other causes ... #hepatology #liver ... #pocus #clinical