23 results
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 • Intrinsic - predictable, dose dependent
Liver Injury (DILI ... ) DILI Types: ... Chronic - ongoing ↑ LFTs ... • Cholestatic DILI ... EmoryGastroHep #DILI
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Liver Injury (DILI ... Diagnosis Algorithm DILI ... injury, Previous DILI ... dates) Potential pitfalls ... hepatitis #DILI
Elevated Liver Function Tests (LFTs) - Differential Diagnosis Framework
Mild (<100-500): 
 • NAFLD
 • Cirrhosis
 •
Function Tests (LFTs ... (>1000): • DILI ... Function #Tests #LFTs
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Function Test (LFTs ... abnormality vs bone Bili ... #FunctionTest #LFTs
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
different) PMHx: - Focus ... - Vitals - LFTs ... GTT, indirect bili
Liver Function Tests (LFTs) - Normal Values and Interpretation

Alanine aminotransferase (ALT/SGPT) - Liver, cardiac & skeletal
Function Tests (LFTs ... bilirubin (Conjugated/DBili ... Function #Tests #LFTs
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Interpretation of LFTs ... Unconjugated Bili ... > 90% of Total Bili ... transaminitis #LFTs
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on POCUS ... asymptomatic, CBC/chem/LFTs ... Abscess #Hepatic #POCUS
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
CBC - Coags, LFTs ... lipase PMH: - Focus
Dilated Coronary Sinus on Echocardiogram (PSAX)

Dilated coronary sinus can mimic pericardial effusion in the  parasternal
on a potential pitfall ... clinical #cardiology #POCUS