59 results
Liver Enzymes (LFTs) - Causes of Hepatocellular and Cholestatic Liver Injury
Hepatocellular Liver Injury
 • AST/ALT elevation
Liver Enzymes (LFTs ... and Cholestatic Liver ... value = (ALT + ULN ... phosphatase + ULN ... Transaminitis #diagnosis #differential
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... - Differential ... Severe ALT > 15x ULN ... Mild ALT < 5x ULN ... #LiverEnzymes #Differential
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... nausea, vomiting, abdominal ... AST/ALT (5-10x ULN ... infiltration) Differential
Hepatic hydatid cyst: water lily sign

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#Hepatic #hydatid #cyst #WaterLily #sign #liver #ultrasound
WaterLily #sign #liver ... #ultrasound #abdominal ... #clinical #pocus
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... POCUS 24yo healthy ... of this 2x2cm liver ... Abscess #Hepatic #POCUS ... Clinical #Ultrasound #Abdominal
Bowel perforation on POCUS.

At beginning of clip, free air from a perforated viscous displaces liver from
perforation on POCUS ... viscous displaces liver ... visualization of the liver ... #perforation #POCUS ... #Abdominal #clinical
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Severe - ALT >15X ULN ... Moderate - ALT 5-15X ULN ... Mild - ALT < 5x ULN
Portal Venous Gas on Ultrasound
The most dramatic example I have seen of preterminal systemic intravascular and
VenousGas #Ultrasound #Liver ... #POCUS #Clinical ... #Abdominal
Ultrasound in the Evaluation of Right Upper Quadrant Abdominal Pain

- Dr. Tom Fadial https://twitter.com/thame

#Hepatobiliary #RUQ #AbdominalPain
Upper Quadrant Abdominal ... AbdominalPain #Algorithm #POCUS ... Diagnosis #Evaluation #Differential
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... R-value: Serum (ALT/ULN ... ALT) / (Alk phos/ULN ... Identify Acute Liver ... chemistry #diagnosis #differential