69 results
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Causes of Thrombocytopenia ... : INR/PT, aPTT(liver ... bypass), LFT (liver ... candidate) - Bone ... patients if the cause
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 ... mellitus; USS, ultrasound
Causes of Hyperferritinemia - Differential Diagnosis
Ferritin > 1000
Ferritin is the storage form of iron. Increased hepcidin
Causes of Hyperferritinemia ... be used by the bone ... is made in the liver ... Most Common Causes ... 1% Most Common Causes
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%) ... Intestine - Other causes
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
synthesized in: liver ... , bone, placenta ... Most cases diagnosed ... • softening of bones ... Phosphatase: • Other causes
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
anterior to the liver ... as shown in the case ... worry about rare case ... Robert Jones @RJonesSonoEM ... POCUS #clinical #ultrasound
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
treated, in most cases ... blood vessels, liver ... , bones, and joints
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Algorithm Vascular Causes ... of Acute Liver ... artery: Shock liver ... hemolysis) • ALP: Bone
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... = nonspecific (nausea ... malaise) → Acute liver ... Antithrombin Ill • Ultrasound
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Testicular Mass on Ultrasound ... Aromatase Activity • Liver ... Testicular Mass on Ultrasound ... Testicular Mass on Ultrasound ... Diagnosis #Algorithm #causes