21 results
Shotgun Laboratory Testing for Severe Acute Livery Injury

https://www.journalofhospitalmedicine.com/jhospmed/article/143598/hospital-medicine/ammonia-levels-and-hepatic-encephalopathy-patients-known

#TWDFNR #Testing #Laboratory #LiverInjury #Diagnosis #Workup #Hepatology #EBM #ChoosingWisely
Testing for Severe Acute ... Livery Injury ... ammonia-levels-and-hepatic-encephalopathy-patients-known ... Diagnosis #Workup #Hepatology ... #EBM #ChoosingWisely
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... , median nerve injury ... • ED Management ... MH/CCF/CWRU EM ... #Carpal #Radiology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
onto outstretched hand ... variable gross wrist ... , acute carpal tunnel ... ) • ED Management ... MH/CCF/CWRU EM
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... onto outstretched hand ... box, pain with wrist ... MH/CCF/CWRU EM ... #TerryThomas #Wrist
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
Elevated CK Levels Acute ... (COVID19, CMV/EBV ... Illness Myopathy (ICU ... renal injury, Strenuous ... SLE • PROXIMAL AND
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... ulna, pain with wrist ... MH/CCF/CWRU EM ... #Carpal #Radiology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Induced Liver Injury ... (record start and ... HBV, HCV, HEV, EBV ... dechallenge • Acute ... Diagnosis #Algorithm #hepatology
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
immunosuppression • Acute ... with severe liver injury ... > 3 mg/dL) or acute ... #Indications #management ... #hepatology
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... wrist, limited ... at wrist • Possible ... MH/CCF/CWRU EM ... Radial #Distal #Radiology
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
ECG changes in acute ... segment in aVR and ... indicates atrial injury ... inverted #Diagnosis #EM ... #IM #Cardiology