20 results
Total-Body Deficits in Chronic Alcohol-Use Disorder. Patients with chronic alcohol-use disorder may have total-body deficits of
Deficits in Chronic Alcohol-Use ... due to chronic alcohol ... #Diagnosis #IM # ... Alcohol #ChronicAlcohol ... ElectrolyteDisorders #NEJM
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... - Differential Diagnosis ... - NAFLD, Alcohol ... - PBC, PSC, Alcoholic ... #hepatology #LiverFunctionTests
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
- Differential Diagnosis ... • NAFLD • Alcohol ... disease US — Normal ... Others #LFTs #Hepatology ... #Differential #Diagnosis
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Areas of diagnostic ... aminotransferase; ARLD, alcohol-related ... dehydrogenase; NAFLD, non-alcoholic ... #Algorithm #Hepatology ... #Differential #Diagnosis
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Levels: > 50x normal ... Infection (EBV/CMV), Alcoholic ... AST:ALT > 2.5 - Alcoholic ... Liver #Injury #hepatology ... #differential #diagnosis
Hemolysis in Hereditary Spherocytosis. Panel A shows the structure of a normal red cell and a
structure of a normal ... Pathophysiology #Honc ... #IM #Spherocytosis ... HereditarySpherocytosis #NEJM
Diagnostic Framework for Anemia (Morphological Approach - MCV)
Low MCV - <80fL - "Microcytic"
 • Iron deficiency
Diagnostic Framework ... some patients) Normal ... independent of alcohol ... #differential #diagnosis ... #causes #hematology
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
hypertension 1 A Abnormal ... agent, NSAID 1 Alcohol ... Anticoagulation #AFib #Diagnosis ... #Hematology
Etiologies of Folate Deficiency
 • Decreased dietary intake - uncommon in this era
 • Increased requirements
Alcohol - Alcohol ... tissue stores with normal ... #differential #diagnosis ... #hematology #nutrition
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential Diagnosis ... function may be abnormal ... ALT Ratios: • Alcoholic ... #differential #diagnosis ... #algorithm #hepatology