11 results
Clinical diagnosis of Alcoholic Hepatitis (AH)
 • Onset of jaundice within prior 8 weeks
 • Ongoing
Clinical diagnosis ... of Alcoholic Hepatitis ... >1.5, and both values ... gastrointestinal bleed, hypotension ... Hepatitis #AH #hepatology
Peripheral Blood Smear Analysis
Hypochromia
Megaloblastic Anemia
Schistocytes: Microangiopathic hemolytic anemia (e.g. DIC, TTP, HUS)
Microspherocytes: Autoimmune hemolytic anemia
Sickled red
: Thalassemia, Alcohol ... abuse, Heavy metal ... Smear #Analysis #hematology ... interpretation #clinical
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary Hypertension ... previously stable values ... 109 mm Hg) with clinical ... Sympathomimetic, Alcohol ... Pregnancy-associated
Clinical Diagnosis of Autoimmune Hepatitis
 - Onset of jaundice within prior 8 weeks
 - Ongoing consumption
Clinical Diagnosis ... or 60 (male) g alcohol ... >1.5, and both values ... gastrointestinal bleed, hypotension ... Hepatitis #Diagnosis #Hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Fatty Liver of Pregnancy ... : • Defect in fetal ... Maternal Support - Critical ... #Fatty #Liver #Pregnancy ... #hepatology #obstetrics
Causes of Intrauterine Growth Restriction / Small for Gestational Age - Differential Diagnosis Algorithm
Fetal Factors:
 -
Diagnosis Algorithm Fetal ... • Gestational hypertension ... Smoking • Alcohol ... GrowthRestriction #Pregnancy
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Peritoneum Portal hypertension ... Cirrhosis - Alcoholic ... fatty liver of pregnancy ... #differential #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... >10 mmHg - clinically ... Fatty liver of pregnancy ... AnnKumfer #Portal #Hypertension ... Diagnosis #causes #hepatology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
w/ black spots fatal ... fever, chills, hypotension ... meds, chronic alcoholics ... Early abx are critical ... dermatology #legs #clinical
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Normal: < 1% Clinically ... appreciate the value ... likelihood of negative clinical ... bacteremia and hypotension ... neutrophil #WBC #CBC #hematology