10 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... ULN - - Viral ... LFTs #Elevated #Abnormal ... Transaminitis #Algorithm
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... - If both are normal ... function may be abnormal ... NASH, Chronic viral ... differential #diagnosis #algorithm
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
- Check Acute viral ... - Check Acute viral ... - If both are normal ... • Near normal ... NASH, Chronic viral
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... Differential Diagnosis Algorithm ... • Drugs • AIH ... disease US — Normal ... Differential #Diagnosis #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... ALP, alkaline phosphatase ... #Algorithm #Hepatology
Pediatric Dyspnea - Differential Diagnosis Algorithm
Stridor:
 • Croup
 • Foreign Body
 • Tracheitis
 • Epiglottitis
 •
Differential Diagnosis Algorithm ... Foreign Body • Viral ... Body Decreased Air ... Pneumothorax Normal ... Differential #Diagnosis #Algorithm
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
cholestasis → Cirrhosis/Liver ... • ALT & AST normal ... • Bilirubin - Normal ... obstruction • ALP ... or higher • Liver
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Differential Diagnosis Algorithm ... Aromatase Activity • Liver ... Germ Cell Tumor Normal ... Congenital Anorchia • Viral ... Differential #Diagnosis #Algorithm
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
disease to acute liver ... hepatocellular pattern of liver ... upper limit of normal ... If suspected, AIH ... Hepatitis (eg Viral
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... breaks up the usual ... defaulting to a normal ... bleeding often from a liver