11 results
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... (LFTs) Elevation ... ≥ 2x ULN R Value ... injury >2 ... Transaminitis #diagnosis
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Interpretation of LFTs R-value ... HCV RNA • R 2- ... HCV RNA • R < 2: ... #chemistry #diagnosis ... #differential #
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... hepatology #obstetrics #obgyn
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
magnitude of enzyme elevation ... ALP, alkaline phosphatase ... disease; T2DM, type 2 ... mellitus; USS, ultrasound ... #Enzymes #Differential
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... Diagnosis Algorithm ... extrahepatic source - Tests ... disease: > 2 ... Enzyme Elevation
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... +preg test. ... (see below for diagnosis ... an IUP or not. #2 ... #obgyn #obstetrics
Antenatal / Prenatal Care Schedule 
At Every Visit: Weight, Blood pressure, Psychosocial screening, Counseling re. Indications
serum screen (AFP ... - Chorionic villus ... 6 movements in 2 ... • ± Non-stress test ... Evaluation #Obstetrics #OBGyn
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... to bolus these values ... / hypoxemia -> focus ... tests before beginning ... #Differential #
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Diagnosis and Management ... analgesia 2. ... Using external abdominal ... compression (using ultrasound ... #obstetrics #obgyn
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... care center for diagnostic ... constipation, last LVP 2 ... L about 2 weeks ... #abdominal #abscess