1960 results
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Levels: > 50x normal ... Hepatitis > 20x normal ... Hepatitis 10-20x normal ... Thrombosis 5-10x normal ... muscle 2-5x normal
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
stretched out portal ... ultrasound #pocus #normal
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Normal veins ... • Portal Hypertension ... : The normal physiology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites Normal ... Peritoneum Portal ... Portal vein occlusion
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Normal venous flow ... - Portal HTN- ... not typical for portal
Common Bile Duct (CBD) on Abdominal Ultrasound

To find the common bile duct I like stretching out
stretching out the portal ... ultrasound #pocus #normal
Venous Excess Ultrasound (VExUS) - Fluid Overload and Venous Congestion Assessment
Step 1: IVC Diameter: If >2cm,
Doppler Step 3: Portal ... and any combo of Normal
Cervical Central Canal and Neural Foraminal Stenosis Grading

Cervical Central Canal Stenosis Grading
 - Normal - No
Stenosis Grading - Normal ... effacement - Mild - Partial ... effacement (ventral, dorsal ... Stenosis Grading - Normal
Causes of Anemia with Normal Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Decreased WBCs
 - Decreased/NormaI
of Anemia with Normal ... - Decreased/NormaI ... PRV, Chronic) Normal ... Polychromatic Macrocytes, Normal ... Hemoglobinopathy - Normal
Oral Antihypertensive Medications - Selection by Comorbidities
Comorbidities: 
 • Stable Angina, HFpEF, HFrEF, AFib, TAA/Marfan, Aortic
Oral Antihypertensive ... Cognitive Impairment, Portal ... MatthewHoMD #Oral