22 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Algorithm for Transaminitis ... Severe - ALT >15X ULN ... Mild - ALT < 5x ULN ... Elevated #Abnormal #Transaminitis
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 ... #Cholestatic #Transaminitis
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 ... SinaiBmoreIMRes #Liver ... LFTs #Elevation #Transaminitis
Bowel perforation on POCUS.

At beginning of clip, free air from a perforated viscous displaces liver from
perforation on POCUS ... of clip, free air ... viscous displaces liver ... visualization of the liver ... #perforation #POCUS
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 ... differential #Hepatology #transaminitis
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 ... • Drugs • AIH
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Venous Gas on POCUS ... Notice the portal air ... ultrasound, reverb in liver ... #Venous #Gas #Air ... #Clinical #POCUS
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
disease to acute liver ... hepatocellular pattern of liver ... ALT + AST > 10x ULN ... ALT + AST > 5x ULN ... AND IgG > 2x ULN
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 ... recommended, but IR ... Abscess #Hepatic #POCUS
Portal Venous Gas:
Ill-appearing elderly postop patient. Taken back to OR for ischemic bowel
Gas in the liver:
bowel Gas in the liver ... #Venous #Gas #Air ... #POCUS #Liver #