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"Playboy Bunny" sign, seen w/hepatic congestion due to R heart failure.

Dr. Josie Acuna @jgacuna

#Hepatic #Congestion #Bunny
seen w/hepatic congestion ... jgacuna #Hepatic #Congestion ... Playboy #Clinical #Liver
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Quadrant Pain Liver ... viral hepatitis, Liver ... Medications), Hepatic congestion
Hepatocellular Liver Injury - Differential Diagnosis Framework:
Liver Injury → liver test abnormalities without evidence of liver
Hepatocellular Liver ... Diagnosis Framework: Liver ... Injury → liver ... Hepatocellular Liver ... Vascular: Ischemic, Congestion
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute Liver ... Hepatocellular - Liver ... : Budd-Chiari, Congestion ... Artery: Shock Liver ... Sophia_Hayes_MD #Liver
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Nonalcoholic fatty liver ... chronic passive congestion
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Causes of Acute Liver ... Budd-chiari syndrome, Congestion ... artery: Shock liver ... Trauma: Shock liver
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... , no pulmonary congestion ... systemic/pulmonary congestion
VExUS - Venous Excess Ultrasound Score 

The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
still toward the liver ... Score #Scale #IVC #Congestion
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
GFR • Acute liver ... failure: Hepatic congestion
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... Focus on prior Liver ... MELD - Chronic liver ... disease work up - Liver ... US - Prior liver