31 results
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
- Differential Diagnosis ... Acute biliary obstruction ... Vasculature • Hepatic ... Congestion/CHF • Hepatic ... Toxic: Medication, Pregnancy
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Site of Vascular Obstruction ... 1) Prehepatic ... to cirrhosis, Abdominal ... including surgery 2) ... #differential #diagnosis
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
site of vascular obstruction ... 1) Post-hepatic ... Budd-Chiari syndrome 2) ... Cirrhosis, Polycystic liver ... to cirrhosis, Abdominal
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Diseases 1) Hands ... Palmar erythema 2) ... fluid, Dilated abdominal ... #diagnosis
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
> 1.1 g/dL) 1. ... 2. ... Liver disease ... of pregnancy ... Ascites #Causes #diagnosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... outflow obstruction ... sarcoidosis) • Liver ... of pregnancy
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Female:Male 9:1 ... • AMA titer 1: ... or higher • Liver ... cholestasis of pregnancy ... malignancies, Hepatic
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
HCV RNA • R 2- ... of cholestatic disease ... replaced by non-hepatic ... disease: > 2 ... #chemistry #diagnosis
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential Diagnosis ... Injury: • Hepatic ... melanoma, myeloma • Pregnancy ... Intrahepatic - Obstruction ... disease: > 2
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... patient, severe abdominal ... Pearls: #1 Confirm ... an IUP or not. #2 ... #POCUS #clinical