7 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Approach to Conjugated ... non-ICU vs ICU causes ... Hyperbilirubinemia #direct #bilirubin ... Diagnosis #Algorithm #gastroenterology ... #hepatology
Inherited Non-hemolytic Disorders of Hyperbilirubinemia 

== Disorders of Conjugation ==
Gilbert Syndrome:
 • 5-10% of the population
and stress may cause ... an increase in conjugated ... • Increase in conjugated ... #hepatology #diagnosis ... #gastroenterology
Overall Approach to Anemia - Differential Diagnosis Algorithm

Blood Loss
 • Acute Bleed - Normocytic / Normochromic
Reticulocytes, Increased Unconjugated ... Bilirubin, Spherocytes ... Diagnosis #Algorithm #Causes ... #Hematology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Algorithm Vascular Causes ... liver, Thrombosis, Emboli ... injury: ~ 1 Unconjugated ... RBC (hemolysis, bleeding ... diagnosis #algorithm #hepatology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
week • Direct bilirubin ... Elevation: • Bilirubin ... RBC (hemolysis, bleeding ... blood cells Unconjugated ... #differential #Hepatology
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
Paradoxical spontaneous bleeding ... thrombophlebitis, pulmonary emboli ... cryoglobulins • Negative causes ... DIC • Septic emboli ... #hematology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
inuslin release leading ... Gastric bypass causes ... TypicallySilent via Emory Gastroenterology ... and Hepatology ... gastric #bypass #gastroenterology