Case #4 Dr. Laura Lamps A 34 year old Hispanic female presented in March of last year with weight loss and tachycardia. She was found to be hyperthyroid,

Slides:

Advertisements

Similar presentations

Case # 1 Dr. Laura Lamps A 32 year old Caucasian man presented to the Hepatology Clinic after he was found to have elevated transaminases during a routine.

Advertisements

Evaluation of Abnormal Liver Function Tests Dr Deb Datta Consultant Gastroenterolgist.

Serina Farzin-Nasab, MD Emory University Family Medicine Residency Program.

Approach to a patient with jaundice

Obstructive Jaundice Michael Richardson 8/20/04. Obstructive jaundice LC is a 57 yo male who presents with painless jaundice Differential diagnosis (highest.

JAUNDICE Index Case Term 2.

Chapter 6 Color Image Processing Chapter 6 Color Image Processing.

Chapter 12 Liver, Gallbladder, and Pancreas Diseases and Disorders

Approach to medical liver biopsies Dr Behrang Mozayani Consultant Histopathologist Southmead hospital Bristol.

DESCRIPTION  Alkaline phosphatase (ALP) (EC ) catalyzes the hydrolysis of phosphate esters in an alkaline environment, resulting in the formation.

Alanine Transaminase.

Hepatic And Post-hepatic Jaundice Sonal Pruthi Roll Number - 82.

Fatty Liver and Pregnancy Shahin Merat, M.D. Professor of Medicine Digestive Disease Research Institute Tehran University of Medical Sciences 1.

Upper GI 2WW referrals & open access endoscopy Dr Amanda J Hughes.

Viral hepatitis. Viral hepatitis is liver inflammation due to a viral infection. It may present in acute (recent infection, relatively rapid onset) or.

Clinical Approach to Neonatal Jaundice

Hepatitis By John. What is Hepatitis? Hepatitis is the inflammation of the liver. Hepatitis is also a group of infections that damages the liver. There.

KEY TERMS DX TESTS RISK FACTORS CANCER PATHOPHYS HODGE-

Department of Medicine Grand Rounds Clinical Vignette Wednesday, March 4, 2009 Peter Shue, M.D.

Differential Diagnosis

Pancreatic Cancer: The Silent Killer By Suzanne Sica Class 2008.

David E. Kleiner, M.D., Ph.D Staff Surgical Pathologist, Laboratory of Pathology, NCI (1992-Present) Hepatic Pathologist –Collaborations with Dr. Jay Hoofnagle.

Case Presentation Mohammad Wazzan Ahmad Al Siari Supervised by : Dr. Hind Fallatah.

ACEICE Student Preparation Reading/Prep questions (ungraded)Online Virtual Case, parts A-C, with reading/questions (graded) Grading.

CHRONIC HEPATITIS B SEROLOGY

Liver function test Ross Stringer. Synthetic function Albumin & clotting (INR/PT, APTT) Hepatocellular damage AST (aspartate aminotransferase) & ALT (alanine.

Evaluation of Abnormal LFT's Vinod Kurup, MD July 28, 2003 CC-BY-SA.

Diagnostic Pathway for Chronic Liver Disease

Signs and symptoms of pancreatic cancer: a population-based case-control study in the San Francisco Bay area Elizabeth A. Holly, Indranushi Chaliha,

Eosinophilic Cholangiopathy

Asymptomatic abnormal LFTs…..again!

Patient no 7 Primary Biliary Cirrhosis Lipoprotein X

Interpretation of Liver Function Test

Varun Kesar M. B. B. S1, Joseph A. Odin M. D, Ph

Drug Induced Hepatitis

Progressive Liver Failure following Gastric Bypass

Hepatopancreatobiliary

BY DR WAQAR MBBS, MRCP ASSISTANT PROFESSOR INTERNAL MEDICINE JAUNDICE BY DR WAQAR MBBS, MRCP ASSISTANT PROFESSOR INTERNAL MEDICINE.

Acute hepatitis of uncertain cause, rule out EBV related

Primary biliary cirrhosis, cirrhotic stage

Chapter 18: Chromosome A Cell Nucleus 54,830 bp

Drug Induced Ductopenia

Wilson’s Disease.

Alcoholic cirrhosis and acute alcoholic fatty liver with cholestasis

Food Supplement associated Cholestasis

Non-alcoholic steatohepatitis with positive ANA

Alcoholic foamy degeneration with early alcoholic cirrhosis

Acute viral hepatitis type C

Liver “Function” Test 2013 Mini-Lecture

Chronic viral hepatitis type B and chronic delta

Chapter 14 Hepatic Tumors, Malignant 1

Primary biliary cirrhosis, AMA negative

Clinical Approach to the Patient With Abnormal Liver Test Results

Liver Failure Secondary to Amyloid Light-Chain Amyloidosis

Daheeya AlEnazi Cromatest Kit

Volume 123, Issue 4, Pages (October 2002)

Chronic Cholestasis with Dilation of Intrahepatic Bile Duct Related to Administration of Ceritinib Taizou Hirano, MD, PhD, Mitsuhiro Yamada, MD, PhD,

Signs and symptoms of pancreatic cancer: a population-based case-control study in the San Francisco Bay area Elizabeth A. Holly, Indranushi Chaliha,

Color Image Processing

Case # 3. Dr. Laura Lamps A 36 year old Caucasian female presented in May of 2010 with nausea and vomiting. Lab work revealed an ALT of 1600, AST of.

Case # 2. Dr. Laura Lamps A 29 year old Caucasian female underwent preoperative blood work prior to laparoscopic removal of a benign paratubal cyst. She.

What’s your nationality? Where are you from?

LINDA S. SNYDER, M.D., RUSSELL I. HEIGH, M.D., MONTE L. ANDERSON, M.D.

Case #5 Dr. Laura Lamps A 67 year old African-American female with a history of coronary artery atherosclerosis and refractory atrial fibrillation presented.

Fondaparinux (Arixtra∗) hepatotoxicity in a 6 year-old child

The highest abnormality of alkaline phosphatase and alanine aminotransferase (ALT) levels in patients undergoing liver biopsy after two years of treatment.

Presentation transcript:

Case #4 Dr. Laura Lamps A 34 year old Hispanic female presented in March of last year with weight loss and tachycardia. She was found to be hyperthyroid, and started on propylthiouracil. In June, she presented with complaints of nausea, vomiting, itching, jaundice, and clay-colored stools. Her AST was 1028, ALT 1039, Bili 6.6, and alkaline phosphatase 586. ANA and other autoimmune serologies were negative. Viral studies negative. There was no evidence of obstruction on imaging. A liver biopsy was performed.

EUS image of autoimmune pancreatitis 2

EUS image of autoimmune pancreatitis 3

EUS image of autoimmune pancreatitis 4

EUS image of autoimmune pancreatitis 5

EUS image of autoimmune pancreatitis 6