9 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... and Biliary Diseases ... ascitic fluid, Dilated ... abdominal wall ... #disease #signs
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Diagnosis Chronic liver ... disease (cirrhosis ... syndrome), HIV-related ... Failure, Pancreatic, Biliary ... Differential #Diagnosis #hepatology
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... • Cholestatic disease ... Congenital US - Dilated ... Duct Stone • Biliary ... Others #LFTs #Hepatology
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
cholestasis → Cirrhosis/Liver ... failure PBC Signs ... or higher • Liver ... cholangitis, IgG4 related ... diagnosis #workup #hepatology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
CMV), Alcohol-related ... liver disease, ... Benign/malignant biliary ... obstruction, Primary biliary ... Diagnosis #Algorithm #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
hypersplenism and related ... sarcoidosis) • Liver ... pregnancy • Primary biliary ... Veno-occlusive disease ... Diagnosis #causes #hepatology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
clinical symptoms/signs ... include extrahepatic biliary ... ARLD, alcohol-related ... liver disease; ... Abnormal #Algorithm #Hepatology
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Duct Stone on Biliary ... POCUS Not your ... CBD is also dilated ... , shotgun sign is ... #abdominal #clinical
Celiac Disease - Clinical Manifestations
Gastrointestinal Manifestations: 
 • Diarrhea, Loose stools, Dyspepsia, Flatulence, Chronic abdominal pain,
Celiac Disease - ... Flatulence, Chronic abdominal ... Short stature, Delayed ... puberty • Elevated liver ... #signs #symptoms