6 results
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Interpretation of LFTs R-value ... Cholestasis / Obstructive ... NT) - If both are ... muscle injury: > 3 ... liver #chemistry #diagnosis
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
LFTs normal Diagnosed ... 3) To assess for ... pt and with X-ray ... Medicine Point of Care ... #ultrasound
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential Diagnosis ... Ascariasis, Choledochal cyst ... Intrahepatic - Obstruction ... NT) - If both are ... muscle injury: > 3
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diseases to exclude are ... musculoskeletal systems • Kidneys ... or proteinase 3 ... Glomerulonephritis, arthritis, obstructive ... #Rheumatology
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
beats CXR on time, cost ... Most CXR are wasted ... on rib fx 3. ... beyond a clinical diagnosis ... #clinical #ultrasound
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
plasmacytoma) • In 3% ... epistaxis, and nasal obstruction ... X-Ray Imaging ... hypercalcemia, or kidney ... #Workup #Hematology