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diagnosis ultrasound clinical hepatology differential hepatic ruq abdominal lfts trauma algorithm laboratory management metastases metastatic rheumatology syndrome workup abscess alkaline
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
The Liver Consult ... different) PMHx: - Focus ... on prior Liver/ ... US - Prior liver ... Calling #Referral #Hepatology
Liver Function Tests (LFTs) - Normal Values and Interpretation Alanine aminotransferase (ALT/SGPT) - Liver, cardiac & skeletal
Liver Function Tests ... , bone, placenta ... brain, NOT in bone ... pancreas, NOT in bone ... Interpretation #diagnosis #hepatology
Liver Function Test (LFTs) Elevation AST - Cardiac and skeletal muscle, kidney, brain ALT - More specific for
Liver Function Test ... specific for the liver ... abnormality vs bone ... SinaiBmoreIMRes #Liver ... Transaminitis #diagnosis #hepatology
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm ALP: - Enzymes that catalyze hydrolysis of organic phosphate
disturbance (obstructed liver ... stimulation (placenta/Bone ... - Highest • Bone ... • Liver (80%) ... Diagnosis #Algorithm #hepatology
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... Boxes in yellow ... shown in the grey boxes ... Green boxes indicate ... Abnormal #Algorithm #Hepatology
Liver Chemistry Tests - AST, ALT, Alkaline Phosphatase and Bilirubin Metabolism AST and ALT: • AST: liver
Liver Chemistry ... ALT: • AST: liver ... In liver, 80% of ... Other locations: bone ... AlkPhos #Bilirubin #Hepatology
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
synthesized in: liver ... , bone, placenta ... • softening of bones ... of feet, thigh bones ... Hyophosphatasia #hepatology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
: INR/PT, aPTT(liver ... bypass), LFT (liver ... candidate) - Bone ... or if a primary hematologic ... Causes #Workup #hematology
Fever of Unknown Origin (FUO) - Further Workup • CNS symptoms? Get an LP and imaging
duplex or CTA • Liver ... Liver biopsy • ... values supporting hematologic ... Bone marrow biopsy
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Liver Chemistries ... Identify Acute Liver ... - Specific to liver ... hemolysis) • ALP: Bone ... #differential #Hepatology
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