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
Spider Angioma: Dialated superficial arterioles, most commonly associated with advanced liver disease.

Charlie Goldberg, M.D. - UCSD
with advanced liver ... Goldberg, M.D. - UCSD ... Images #Clinical #Photo ... Spider #Angioma #UCSDH
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
Huge Umbilical Hernia: Umbilical hernia exacerbated by refractory ascites. Advanced liver disease 
precluded operative repair in
Advanced liver disease ... Goldberg, M.D. - UCSD ... Images #Clinical #Photo ... Hernia #Massive #UCSDH
Gynecomastia: Breast development in men, often related to relative increase in estrogen levels. In this case,
with advanced liver ... Goldberg, M.D. - UCSD ... Images #Clinical #Photo ... #Gynecomastia #UCSDH
Hypopyon: A white layer of inflammatory cells which settles along the bottom of the anterior chamber
anterior uveits, keratitis ... Goldberg, M.D. - UCSD ... Ophthalmology #Photo ... Endophthalmitis #Chemosis #UCSDH