24 results
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
genes coding for bile ... cholestasis, and some cases ... miscellaneous causes ... external pressure on bile ... #differential #causes
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Stone on POCUS ... Here’s a similar case ... This time on pocus ... clinical #ultrasound #biliary
â–º
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
disease US — Normal Bile ... US - Dilated Bile ... Ducts • Common Bile ... Duct Stone • Biliary ... Diagnosis #Algorithm #Causes
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... of intralobular bile ... ducts causes cholestasis ... No extrahepatic biliary ... malignancy #Primary #Biliary
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Intestine - Other causes ... Drugs - Primary biliary ... PSC - Other biliary ... diseases/Bile duct
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
energy or heat to cause ... access to both biliary ... DILATOR - For biliary ... collection of biliary ... pictures as it passes
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Algorithm Vascular Causes ... Extrahepatic - Biliary ... Choledocholithiasis, Biliary ... - Obstruction: Biliary ... - Cholestasis/Bile
Several artifacts can cause significant and potentially misleading alterations to measured RBC parameters: 
1. Old samples
artifacts can cause ... Old samples cause ... Lipemia causes a ... #Schistocytes #Pyknocytes ... Echinocytes #BurrCells #Bite
Trypanosomiasis - Trypanosoma cruzi Life Cycle
1) Triatomine bug takes a blood meal (passes metacyclic trypomastigotes in
a blood meal (passes ... trypomastigotes enter bite ... various cells at bite ... wound site. ... Amastigotes multiply by binary
PLAX. Bit Las Vegas gains posteriorly 😉 lovely HOCM case with systolic anterior motion. Significant LVOT
Bit Las Vegas gains ... 😉 lovely HOCM case ... SAM #Clinical #POCUS
â–º