11 results
Elevated Transaminases / Transaminitis - Differential Diagnosis

 • Infectious: HAV, HCV, HEV, EBV, HSV, CMV
 •
Transaminases / Transaminitis ... Trauma: Shock liver ... • Autoimmune hepatitis ... images/10587 #Transaminitis ... Transaminases #hepatitis
Elevated Liver Function Tests (LFTs) - Differential Diagnosis Framework
Mild (<100-500): 
 • NAFLD
 • Cirrhosis
 •
Elevated Liver Function ... Chronic Viral Hepatitis ... • Acute Viral Hepatitis ... (Drug-induced liver ... Diagnosis #hepatology #transaminitis
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Patterns of Liver ... - Acute Viral Hepatitis ... , Toxic Hepatitis ... #Patterns #Liver ... hepatology #LFTs #transaminitis
Hepatocellular Liver Injury - Differential Diagnosis Framework:
Liver Injury → liver test abnormalities without evidence of liver
Hepatocellular Liver ... Injury → liver ... • Infections: Hepatitis ... hepatology #algorithm #Transaminitis ... #LFTs #hepatitis
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... Check Acute viral hepatitis ... Check Acute viral hepatitis ... Chronic viral hepatitis ... differential #Hepatology #transaminitis
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
Interstitial keratitis ... Interstitial keratitis ... blood vessels, liver ... #Interstitial #keratitis ... syphilis #clinical #photo
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
(25.1 mmol per liter ... (1.8 mmol per liter ... (22.6 mmol per liter ... #NEJM #clincal # ... photo #xanthoma
Woltman's sign of hypothyroidism- ...At the time of presentation, a physical examination was notable for the
deciliter (16 pmol per liter ... was 20.5 mIU per liter ... #clinical #photo ... #NEJM #Woltmans
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
was 0.2 mIU per liter ... #clinical #photo ... #NEJM #Pembertons