11 results
"Liver palms"
Palmar erythema 

#clinical #diagnosis #PhysicalExam 
#hands #liver #hepatology #cirrosis
#photo
"Liver palms" Palmar ... erythema #clinical ... PhysicalExam #hands #liver ... #hepatology #cirrosis ... #photo
Spur-Cell Anemia- A 31-year-old man with a history of cirrhosis, recurrent hepatic encephalopathy, and anemia presented
with a history of cirrhosis ... decompensated cirrhosis ... definitively treated by liver ... candidate for liver ... #NEJM #clinical
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
Abnormal renal/liver ... >2.3mg/dL) 1 Liver ... (cirrhosis, bilirubin ... Bleeding history/anemia ... AFib #Diagnosis #Hematology
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
Major Clinical Trials ... Thresholds in Critical ... Care TRICC - NEJM ... Blood saves lives ... Transfusion #Thresholds #Hematology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
skin infection Cirrhosis ... sepsis: chronic liver ... hemochromatosis, hemolytic anemia ... rash #cellulitis #dermatology ... #photo
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... disease • Liver ... autoimmune hemolytic anemia ... hypogammaglobulinemia #immunology #hematology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Bandemia, AKI. ... asplenia, alcoholism, cirrhosis ... possible Patient's clinical ... Canimorsus #Skin #Rash #dermatology ... #clinical #photo
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
fever syndromes Clinical ... Fever is the main clinical ... with leukopenia, anemia ... thrombocytopenia • Liver ... Diagnosis #Management #Hematology
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
the metabolic clinic ... history of biliary cirrhosis ... (25.1 mmol per liter ... #NEJM #clincal # ... photo #xanthoma
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Sarcoidosis) • Liver ... disease: Cirrhosis ... gastric tumors • Hematology ... Thalassemia, Sickle cell anemia ... differential #diagnosis #hematology