167 results
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... specific for the liver ... Value = (ALT / ULN ... ALT) / (ALP / ULN ... SinaiBmoreIMRes #Liver
Liver Enzymes (LFTs) - Causes of Hepatocellular and Cholestatic Liver Injury
Hepatocellular Liver Injury
 • AST/ALT elevation
Liver Enzymes (LFTs ... and Cholestatic Liver ... Hepatocellular Liver ... value = (ALT + ULN ... phosphatase + ULN
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... AST/ALT (5-10x ULN ... Antithrombin Ill • Ultrasound
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... Severe ALT > 15x ULN ... Moderate ALT 5-15x ULN ... Mild ALT < 5x ULN
Algorithm for the Evaluation of Visual Complaints with Ocular Ultrasonography (POCUS)

- Dr. Tom Fadial @thame 

#Ocular
Complaints with Ocular ... Fadial @thame #Ocular ... #POCUS #Ultrasound
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 ... - Specific to liver
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Severe - ALT >15X ULN ... Moderate - ALT 5-15X ULN ... Mild - ALT < 5x ULN
Ocular Ultrasound Pocketcard
Painless Vision Loss
 • Retinal Detachment 
 • Posterior Vitreous Detachment 
 • Vitreous
Ocular Ultrasound ... @Pocus101 #Ocular ... #Ultrasound #pocus
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Contrast Enhanced Ultrasound ... hemangioma, Focal nodular ... , Metastasis #Liver ... Lesions #Hepatic #Ultrasound
Central retinal artery occlusion (CRAO). Positive "spot sign" on Ocular Ultrasound

78 yo M with sudden onset
"spot sign" on Ocular ... Ultrasound 78 ... Clinical #POCUS #Ocular ... #Ultrasound