26 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
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Marrow (Toxic injury ... to BM) • Constitutional ... Parvovirus B19 - EBV ... #oncology #hematology ... #diagnosis #management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, median nerve injury ... • ED Management ... MH/CCF/CWRU EM ... #Carpal #Radiology ... XRay #Diagnosis #Management
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
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
Anemia Diagnostic Algorithm

Mean corpuscular (cell) volume (MCV): Average RBC size. Under 80 = microcytic. Between 80-95
High in acute blood ... in bone marrow (BM ... iron), low EPO, and ... under 2%, then BM ... Diagnosis #Workup #Hematology
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
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
→ Refer to hematology ... workup, including BM ... blood loss, Acute ... hemolysis, deficiency anemia ... bacterial and viral
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
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