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diagnosis clinical differential algorithm hepatology orthopedics pocus ultrasound cbd endoscopy ercp full gastroenterology pathophysiology radiology rheumatology stone supraspinatus acanthocytes accessories
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
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
Inflammatory Joint Pain - Differential Diagnosis Algorithm Monoarticular • Gout (Podagra, Tophi) • Pseudogout • Early
Disease (Tick bite ... Inflammatory #JointPain #MSK ... #Orthopedics #Causes
Common Bile Duct Stone on POCUS Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Here’s a similar case ... clinical #ultrasound #biliary
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 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
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
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 ... Dacrocytes, #Teardrops #TargetCells ... 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
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