19 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... #physicalexam # ... #disease #signs ... #diagnosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... >10 mmHg - clinically ... pregnancy • Primary biliary ... #Diagnosis #causes
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... disease/cirrhosis ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... cholestasis → Cirrhosis/Liver ... failure PBC Signs ... or higher • Liver ... bile ducts Differential
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
symptoms/signs ... include extrahepatic biliary ... disease; AST, aspartate ... disease; T2DM, ... #Enzymes #Differential
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... asymptomatic at diagnosis ... disease management ... remain subject to clinical ... #management #summary
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
wax and wane; diagnosis ... painless, no systemic signs ... biopsy preferred Differential ... University Infectious Diseases ... #photo #hand
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Lives in an old ... Diagnosis? ... University Infectious Diseases ... #dermatology #clinical ... #photo
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
structural heart disease ... syncope (ruling out differential ... further guide management ... orthostatic vital sign ... should be guided by clinical
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... artery aneurysms Diagnosis ... Behcet syndrome (Clinical ... ) Differential Diagnosis ... #management #signs