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diagnosis air clinical hepatology liver pain ultrasound workup acidosis acute algorithm children chronic classification cyst elevation gas gastroenterology hematology hypertension
Localized Acute Abdominal Pain(<72 hours) - Differential Diagnostic Algorithm Look for surgical abdomen Upper quadrant: R/O cardiac, pulmonary,
Localized Acute Abdominal ... Pain(<72 hours) - Differential ... musculoskeletal causes ... genitourinary causes ... Peritoneal - Bowel • Appendicitis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Causes of Lactate ... Lactic Acidosis - Differential ... to bolus these values ... or diagnostic tests ... Causes of Lactate
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... ultrasound; MRA; abdominal ... Oral sodium loading ... scan of abdomen/pelvis ... #Hypertension #Differential
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... syndrome • Chronic portal ... • Splenomegaly/Abscess ... malignancy • Lactase ... #Differential #
Causes of Intrahepatic Gas Non-Iatrogenic: • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... Diverticulitis, Pelvic ... abscess, Appendicitis ... Trauma, Liver abscess ... #Causes #differential
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... ischemia, perforated peptic ... ileus), intra-abdominal ... variety of other causes ... hepatology #liver #pocus
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 TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura Activity of von Willebrand factor-cleaving protease activity - A
activity - A low value ... If the value is ... low, tests to detect ... elevation Serum lactate ... WBC count and differential
Pyogenic liver abscess in children Common bacterial causes in children: • S.aureus • Strep spp • Enteric
Common bacterial causes ... from contiguous focus ... endocarditis) - Portal ... sources within abdominal ... children #peds #differential
Peripelvic Cyst on Renal POCUS 60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
Cr 0.7 BUN 16 lactate ... LFTs normal Diagnosed ... Lactate up to 4.0 ... cysts may be a cause ... occasionally may cause
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