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Liver Function Test (LFTs) Elevation AST - Cardiac and skeletal muscle, kidney, brain ALT - More specific for
Phosphatase, ALT ≥ 3x ULN ... Transaminase, ALP ≥ 2x ULN ... Value = (ALT / ULN ... ALT) / (ALP / ULN ... Transaminitis #diagnosis #hepatology
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Severe ALT > 15x ULN ... Moderate ALT 5-15x ULN ... Mild ALT < 5x ULN ... Others #LFTs #Hepatology
Liver Enzymes (LFTs) - Causes of Hepatocellular and Cholestatic Liver Injury Hepatocellular Liver Injury • AST/ALT elevation
value = (ALT + ULN ... phosphatase + ULN ... #differential #hepatology
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Severe - ALT >15X ULN ... Moderate - ALT 5-15X ULN ... Mild - ALT < 5x ULN ... Algorithm #diagnosis #hepatology
Portosystemic collaterals in Cirrhosis Milking abdominal veins demonstrates centrifugal blood flow in caput medusae. Dr. Boby Varkey Maramattom
caput #medusae #clinical ... #video #physicalexam ... #cirrhosis #hepatology
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 Shifting Dullness to Percussion on Physical Exam to Detect Ascites Dr. André Martin Mansoor @AndreMansoor #Shifting #Dullness #Percussion
PhysicalExam #Ascites #clinical ... #video #hepatology
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 Autoimmune Hepatitis Clinical Presentation - Highly variable clinical presentation, from subclinical disease to acute liver failure. -
Autoimmune Hepatitis Clinical ... Highly variable clinical ... ALT + AST > 5x ULN ... AND IgG > 2x ULN ... Diagnosis #Management #Hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension We do the milking method as depicted
depicted in the video ... Milking #abdominal #clinical ... #video #flow #direction ... veins #cirrhosis #hepatology
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 Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2) To assess for Median Nerve Peripheral Neuropathy Elbow extension →
Neurodynamic Tests, ULNT2 ... #Neurodynamic #ULNT2 ... #ULTT2 #clinical ... #video #physicalexam ... orthopedics #neurology #ULNT
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 Cirrhosis leading to Chronic Liver Failure - Clinical Signs and Symptoms #Cirrhosis #LiverFailure #Signs #Symptoms #PhysicalExam #Findings
Liver Failure - Clinical ... Findings #Diagnosis #Hepatology
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