23 results
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
different) PMHx: - Focus ... biopsy Meds: ... - Outpatient meds ... prior hepatotoxic meds ... Calling #Referral #Hepatology
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
although hepatic causes ... namely, the many causes ... decompensated liver ... Urease producing UTI ... Reye syndrome (Peds
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
disturbance (obstructed liver ... Highest • Bone • Liver ... Intestine - Other causes ... Bone symptoms - Pain ... Diagnosis #Algorithm #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... = nonspecific (nausea ... vomiting, abdominal pain ... #Pregnancy #hepatology
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
FLAGS - In all cases ... Malignancy - Night pain ... neurology, back pain ... Haematology - ... Pathway #Child #Peds
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
Plain radiography ... accumulation in the liver ... and gut, which causes ... #clincial #peds
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ POCUS ... RUQ abdominal pain ... anterior to the liver ... as shown in the case ... duodenal #ulcer #RUQ #POCUS
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
cardiorenal syndrome) • Liver ... tubular necrosis (causes ... : sepsis, meds, ... interstitial nephritis (AIN
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Pneumonia on Lung POCUS ... POCUS lung exam ... travel hx, home meds ... Progressive URI
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
variety of other causes ... venousgas #ultrasound #hepatology ... #liver #pocus #