10 results
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
stimulation (placenta/Bone ... - Highest • Bone ... Renal disease - Bone ... symptoms - Pain -> RUQ ... Diagnosis #Algorithm #hepatology
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
synthesized in: liver, bone ... • softening of bones ... of feet, thigh bones ... : Inhibitor of bone ... Hyophosphatasia #hepatology
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
abnormality vs bone ... Transaminase >> Alkaline Phosphatase ... Pattern - Alkaline Phosphatase ... Transaminitis #diagnosis #hepatology
Gallbladder Perforation with pericholecystic abscess on POCUS

Patient with RUQ pain/fever.  Answer in thread. holecystitis/impacted stone
pericholecystic abscess ... on POCUS Patient ... with RUQ pain/fever ... Robert Jones @RJonesSonoEM ... Cholelithiasis #POCUS
Portal vein thrombosis on POCUS

Dr. Adnan Yamanoglu @AdnanYamanoglu

#PortalVein #thrombosis #POCUS #clinical #ultrasound #RUQ #hepatology
thrombosis on POCUS ... PortalVein #thrombosis #POCUS ... clinical #ultrasound #RUQ ... #hepatology
Liver Chemistry Tests - AST, ALT, Alkaline Phosphatase and Bilirubin Metabolism
AST and ALT:
 • AST: liver
ALT, Alkaline Phosphatase ... liver Alkaline phosphatase ... Other locations: bone ... AlkPhos #Bilirubin #Hepatology
Liver Function Tests (LFTs) - Normal Values and Interpretation

Alanine aminotransferase (ALT/SGPT) - Liver, cardiac & skeletal
RBCs Alkaline phosphatase ... AlkP) - Liver, bone ... brain, NOT in bone ... pancreas, NOT in bone ... Interpretation #diagnosis #hepatology
Hepatic Abscess on POCUS
Had recent colonoscopy with biopsies.  Answer: Had perforation of colon at hepatic
on POCUS Had recent ... the anticipated POCUS ... Robert Jones @RJonesSonoEM ... #POCUS #clinical ... #Ultrasound #RUQ
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Boxes in yellow ... shown in the grey boxes ... Green boxes indicate ... ALP, alkaline phosphatase ... Abnormal #Algorithm #Hepatology
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... from contiguous focus ... , perinephric abscess ... pyogenic #liver #abscess ... differential #diagnosis #hepatology